A Study on the Treatment of Recurrent Clubfoot With the Tendon Release of Musculi Tibialis Posterior

NCT ID: NCT04212663

Last Updated: 2019-12-27

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

80 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-02-01

Study Completion Date

2021-09-25

Brief Summary

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The musculi tibialis posterior can adduct the foot, so releasing the tedon of the muscle can help to correct the deformity of the forefoot adduction.

Detailed Description

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Conditions

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Recurrent Clubfoot

Keywords

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Musculi tibialis posterior Tendon release Anterior tibial tendon transfer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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control

receive the procure of Anterior tibial tendon transfer(TATT) + Achilles tendon lengthing + fascial release

Group Type PLACEBO_COMPARATOR

Anterior tibial tendon transfer(TATT)

Intervention Type PROCEDURE

To transfer the the tendon of anterior tibial from the navicular to the third cuneiform.

Achilles tendon lengthing

Intervention Type PROCEDURE

To lengthen the achilles tendon by using two incisions.

Fascial release

Intervention Type PROCEDURE

To cut off the metatarsal fascia in the middle part.

experiment

receive the procure of Anterior tibial tendon transfer(TATT) + Achilles tendon lengthing + fascial release+ The tendon release of musculi tibialis posterior

Group Type EXPERIMENTAL

The tendon release of musculi tibialis posterior

Intervention Type PROCEDURE

To release the tendon of musculi tibialis posterior.

Anterior tibial tendon transfer(TATT)

Intervention Type PROCEDURE

To transfer the the tendon of anterior tibial from the navicular to the third cuneiform.

Achilles tendon lengthing

Intervention Type PROCEDURE

To lengthen the achilles tendon by using two incisions.

Fascial release

Intervention Type PROCEDURE

To cut off the metatarsal fascia in the middle part.

Interventions

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The tendon release of musculi tibialis posterior

To release the tendon of musculi tibialis posterior.

Intervention Type PROCEDURE

Anterior tibial tendon transfer(TATT)

To transfer the the tendon of anterior tibial from the navicular to the third cuneiform.

Intervention Type PROCEDURE

Achilles tendon lengthing

To lengthen the achilles tendon by using two incisions.

Intervention Type PROCEDURE

Fascial release

To cut off the metatarsal fascia in the middle part.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Clinical diagnosis of recurrent idiopathic clubfoot
* The initial treatment was treated with the ponseti method
* Dynamic supination
* The max-dorsiflexion of angle \<5°
* The fore foot is adduct
* The sole is cavus

Exclusion Criteria

* Symptomatic recurrent clubfoot
* Tarsal fusion
* Rigid recurrent clubfoot
Minimum Eligible Age

4 Years

Maximum Eligible Age

6 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Guangzhou Women and Children's Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Hongwen Xu

The director of pediatric orthopedic depatment

Responsibility Role PRINCIPAL_INVESTIGATOR

Other Identifiers

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GuangzhouWCMC-002

Identifier Type: -

Identifier Source: org_study_id