LSTR in Chevron Osteotomy

NCT ID: NCT06486753

Last Updated: 2024-07-03

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

200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-06-24

Study Completion Date

2028-03-09

Brief Summary

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The goal of this clinical trial is to determine if performing a lateral soft tissue release during a Chevron osteotomy (or Akin osteotomy when appropriate) for bunions leads to better correction without added complications in 200 patients over the age of 18 years old with the capacity to consent and mild to moderate bunions that are determined to benefit from Chevron osteotomies by one of the IRB approved study physicians. The main questions it aims to answer are:

How does the addition of a lateral soft tissue release (LSTR) in a Chevron osteotomy bunion surgery affect hallux valgus alpha angle (HVA) correction? How does the addition of an LSTR in a Chevron osteotomy bunion surgery affect intermetatarsal angle (IMA) degrees of correction? Researchers will compare Chevron osteotomy bunion surgeries with and without LSTR to see if LSTRs lead to better correction without added complications.

Participants will:

* Be randomized to a control group where they receive a typical Chevron osteotomy bunion surgery or to the experimental group where they receive a Chevron osteotomy bunion surgery with an LSTR.
* Complete surveys preoperatively and at 3, 6, and 12 months after surgery.
* Receive routine x-rays pre and postoperatively to compare hallux valgus angle (HVA).

Detailed Description

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Conditions

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Bunion

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Chevron osteotomy bunion surgery without LSTR

Participants randomized to this group will receive a standard Chevron osteotomy bunion surgery.

Group Type NO_INTERVENTION

No interventions assigned to this group

Chevron osteotomy bunion surgery with LSTR

Participants randomized to this group will receive a Chevron osteotomy bunion surgery and a lateral soft tissue release.

Group Type EXPERIMENTAL

Chevron osteotomy bunion surgery with lateral soft tissue release

Intervention Type PROCEDURE

Lateral soft tissue release is often performed in hallux valgus correction, and there is preliminary evidence to suggest it may be useful in improving post-surgical outcomes for the Chevron osteotomy bunion surgery.

Interventions

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Chevron osteotomy bunion surgery with lateral soft tissue release

Lateral soft tissue release is often performed in hallux valgus correction, and there is preliminary evidence to suggest it may be useful in improving post-surgical outcomes for the Chevron osteotomy bunion surgery.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Over the age of 18 years old
* Have mild to moderate bunions that are determined to benefit from Chevron osteotomies

Exclusion Criteria

* Under the age of 18
* Connective tissue disease
* Juvenile bunions
* Severe bunions
* Revision surgery
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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The Methodist Hospital Research Institute

OTHER

Sponsor Role lead

Responsible Party

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Kevin Varner

Chairman of the Department of Orthopedics

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Houston Methodist Research Institute

Houston, Texas, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Haley M Goble, MHA

Role: CONTACT

713-441-3930

Facility Contacts

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Haley M Goble, MHA

Role: primary

713-441-3930

Other Identifiers

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PRO00026261

Identifier Type: -

Identifier Source: org_study_id

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