Management of Pes Planovalgus With Talocalcaneal Coalition ,Osteotomy vs Arthroereisis

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

Clinical Phase

NA

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-11-18

Study Completion Date

2021-12-30

Brief Summary

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the investigators compare the corrective osteotomies vs arthroereisis in management of talcalcaneal coalition in adolescents as regard the outcome to provide the best intervention for the patient

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Detailed Description

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In talocalcaneal coalition management is controversial so in this study the invstigators try to compare techniques other than coalition excision only or fusion only by using two types of intervention including first coalition excision and multiple corrective osteotomies according to deformity as evans ,medial displacement calcaneal osteotomy and cotton osteotomy vs coalition excision and arthroereisis the investigators compare functional and radiological outcomes and complication to provide the best management for these patients .

Conditions

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Talocalcaneal Bar Pes Planus

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

2 groups one with the first intervention arthroereisis and bar excision the second with bar excision and osteotomies it may be one or multiple

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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coalition excision and arthroereisis

Talocalcaneal bar excision is done and then arthroereisis implant is applied in subtalar joint to correct rigid pes planovalgus in adolescent

Group Type EXPERIMENTAL

Coaltion excision and arthroereisis

Intervention Type PROCEDURE

Both done to treat rigid flat foot with talocalcaneal coalition. Talocalcaneal coalition excision and management of rigid pes planovalgus in adolescent

coalition excision and corrective osteotomies

Talocalcaneal bar excision is done and then according to degree of deformity either medial displacement calcaneal osteotomy or evans or cotton osteotomy is done or combined together to correct rigid pes planovalgus in adolescents

Group Type EXPERIMENTAL

Coalition excision and corrective osteotomies

Intervention Type PROCEDURE

Both done to treat rigid flat foot with talocalcaneal coalition. Talocalcaneal coalition excision and management of rigid pes planovalgus in adolescent

Interventions

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Coaltion excision and arthroereisis

Both done to treat rigid flat foot with talocalcaneal coalition. Talocalcaneal coalition excision and management of rigid pes planovalgus in adolescent

Intervention Type PROCEDURE

Coalition excision and corrective osteotomies

Both done to treat rigid flat foot with talocalcaneal coalition. Talocalcaneal coalition excision and management of rigid pes planovalgus in adolescent

Intervention Type PROCEDURE

Other Intervention Names

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Coalition excision and corrective osteotomies

Eligibility Criteria

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Inclusion Criteria

* flat foot due to talocalcaneal coalition Symptomatic patient Resectable coalition Age between 10 and 20

Exclusion Criteria

* flat foot of other etiology Age more than 20 Concurrent knee deformity unless corrected before surgery Extensive coalition more than 50 %of posterior facet

Minimum Eligible Age

10 Years

Maximum Eligible Age

20 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes