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Evaluation of Clinical and Functional Results After Operative Correction of Lesser Toe Deformities

NCT ID: NCT04949685

Last Updated: 2021-12-22

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

COMPLETED

Total Enrollment

18 participants

Study Classification

OBSERVATIONAL

Study Start Date

2019-11-25

Study Completion Date

2021-11-24

Brief Summary

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The plantar plate is an important static stabilizer of lesser metatarsophalangeal joints, and disruptions of the plantar plate can lead to significant instability and lesser toe deformities.Our study proposes an inexpensive and versatile method for plantar plate repair

Detailed Description

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A torn plantar plate is small and difficult to access using regular instruments in a restricted operative field. A unique method for plantar plate repairs was used to repair various configurations of plantar plate tears with standard operative instruments that is available in most operating rooms. A retrospective study was performed on patients who underwent operations for lesser MTPJ instability between September 2015 and December 2019. The outcome analysis included the Lesser Metatarsophalangeal-Interphalangeal Scale from the American Orthopedic Foot and Ankle Society (AOFAS) forefoot score, the Visual Analogue Scale score for pain and satisfaction, and answering the question "Would you recommend this procedure to other patients?"

Conditions

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Plantar Plate Tear Metatarsalgia Lesser Metatarsophalangeal Joint Instability Hammer Toe Surgery Plantar Plate Repair

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

RETROSPECTIVE

Study Groups

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symptomatic plantar plate rupture

plantar plate repair operation for symptomatic lesser metatarsophalangeal joint instability

plantar plate repair

Intervention Type PROCEDURE

surgical repair via dorsal approach of lesser metatarsophalangeal joint general anesthesia

Interventions

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plantar plate repair

surgical repair via dorsal approach of lesser metatarsophalangeal joint general anesthesia

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Clinical diagnosis of lesser metatarsophalangeal joint instability
* Clinical diagnosis of metatarsalgia
* Lesser metatarsophalangeal joint instability clinical grades of II to III, which were determined using the drawer test.

Exclusion Criteria

* Previous operatve treatment of the affected lesser metatarsophalangeal joint.
* Rheumatioid arthritis.
* Neurologic disorders (e.g., parkinsonism, Charcot's neuroarthropathy…etc.).
* Postoperative follow-ups of less than 12 months
Minimum Eligible Age

20 Years

Maximum Eligible Age

90 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Taiwan University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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National Taiwan University Hospital

Taipei, , Taiwan

Site Status

Countries

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Taiwan

References

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Coughlin MJ. Crossover second toe deformity. Foot Ankle. 1987 Aug;8(1):29-39. doi: 10.1177/107110078700800108.

Reference Type RESULT
PMID: 3623359 (View on PubMed)

Weil L Jr, Sung W, Weil LS Sr, Malinoski K. Anatomic plantar plate repair using the Weil metatarsal osteotomy approach. Foot Ankle Spec. 2011 Jun;4(3):145-50. doi: 10.1177/1938640010397342. Epub 2011 Mar 18.

Reference Type RESULT
PMID: 21421939 (View on PubMed)

Chang SM, Huang PJ, Farn CJ, Lin SY, Wang CC, Wang CL, Chen PY. A versatile method for dorsal-approach plantar plate repair using standard operative instruments. BMC Musculoskelet Disord. 2022 Jan 3;23(1):11. doi: 10.1186/s12891-021-04951-w.

Reference Type DERIVED
PMID: 34980055 (View on PubMed)

Other Identifiers

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201909030RIND

Identifier Type: -

Identifier Source: org_study_id