Operative Versus Non-operative Treatment for Mild to Moderate Hallux Valgus Deformity

NCT ID: NCT06114043

Last Updated: 2025-08-03

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

RECRUITING

Clinical Phase

NA

Total Enrollment

120 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-06-01

Study Completion Date

2030-03-31

Brief Summary

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The goal of this randomized controlled trial is to investigate operative treatment versus conservative treatment in participants suffering from mild to moderate hallux valgus deformity. The main question it aims to answer are; Is surgery superior to conservative treatment?

The participants will be randomized in to two groups, operative and conservative group.

Investigators will compare the groups measuring the clinical results using the patient-reported outcome measure (PROM) Manchester-Oxford Foot Questionnaire (MOxFQ), Visual analog scale (VAS), likert scale 0-5. Participants will be observed for a period og two years.

Detailed Description

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Randomized controlled trial (RCT) investigating the patient reported outcome after operative or conservative treatment in mild to moderate hallux valgus deformity. In this RCT study participants will be divided into operative group, non-operative group where the treatment will be orthopedic aids/wide shoes. The participants will be evaluated 6 months, 1 year and 2 years after starting the treatment. The clinical results will be evaluated using patient reported outcome measures (PROMs).

Primary aim: Investigating the clinical result by PROM (Manchester Oxford Foot Questionnaire)

Secondary aim: Investigating the radiological results according to newer and traditional parameters. Operative group -correction achieved, residual rate. Conservative group -progression of deformity.

Statistical power calculations have been made within the research group. Calculations are based on the main outcome MOxFQ, with the power of 80 and confidence interval 95%. The investigators concluded that a sample size of 49 participants will be needed to perform a regression analysis. To account for loss to follow-up (estimated 20%),120 participants (60 per group) will be recruited.

Conditions

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Hallux Valgus Deformity

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Randomised controlled trial investigating patients with painful mild to moderate hallux valgus deformity
Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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Operation

60 participants will be operated for mild to moderate hallux valgus deformity

Group Type OTHER

Operation for mild to moderate hallux valgus

Intervention Type OTHER

60 participants will receive the traditional operative treatment for the deformity. Participants will be followed for 2 years.

Conservative

60 participants will be treated conservatively with a wide shoe

Group Type OTHER

Conservative treatment with orthopedic aid/wide shoe for participants with mild to moderate hallux valgus

Intervention Type OTHER

60 participants will receive conservative treatment with orthopedic aid/wide shoe. Participants will be followed for 2 years.

Interventions

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Conservative treatment with orthopedic aid/wide shoe for participants with mild to moderate hallux valgus

60 participants will receive conservative treatment with orthopedic aid/wide shoe. Participants will be followed for 2 years.

Intervention Type OTHER

Operation for mild to moderate hallux valgus

60 participants will receive the traditional operative treatment for the deformity. Participants will be followed for 2 years.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Painful Hallux Valgus deformity
* Hallux Valgus Angle \<35 degrees
* Intermetatarsal angle \<15 degrees
* 18-80 years

Exclusion Criteria

* Advanced osteoarthritis in first metatarsophalangeal joint
* Rheumatic diseases
* Pregnancy
* Drug abuse
* Severe psychological disorder
* Lack of compliance
* Language barrier
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Ostfold Hospital Trust

OTHER

Sponsor Role lead

Responsible Party

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Marius Molund

MD, phd, head of foot & ankle department Ostfold hospital trust

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Marius Molund

Role: PRINCIPAL_INVESTIGATOR

Ostfold Hospital Trust

Locations

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Østfold Hospital Trust

Sarpsborg, , Norway

Site Status RECRUITING

Countries

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Norway

Central Contacts

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Marius Molund

Role: CONTACT

Mikaela E Hamre

Role: CONTACT

+4741273586

Facility Contacts

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Marius Molund, MD PhD

Role: primary

+4790093988

Martin O Riiser, MD PhD candidate

Role: backup

+4797146230

Other Identifiers

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575297

Identifier Type: -

Identifier Source: org_study_id

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