Radiological Outcomes of Modified Extra-articular LCL

NCT ID: NCT06562062

Last Updated: 2024-08-20

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

Total Enrollment

1 participants

Study Classification

OBSERVATIONAL

Study Start Date

2024-08-16

Study Completion Date

2028-02-29

Brief Summary

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To assess radiological and functional outcomes of modified extra-articular lateral column lengthening procedure for correction of adult acquired flexible flatfoot deformity

Detailed Description

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Measurement of

1. Calcencal pitch : This angle is formed on a weight-bearing lateral foot radiograph between the calcaneal Inclination axis and the supporting horizontal surface(10), normal ranges of between 10-25° and 20-30 have Been proposed(11)
2. Meary's angle: It is the angle between a line drawn along the longitudinal axis of the talus (mid-talar axis) and the first metatarsal (first metatarsal axis) , typically', Meary's angle is 0°, with abnormal values considered angle \>4° convex upward: pes cavus , angle \<-4 convex downward: pes planus, It can be used to classify the severity of deformity
3. lateral talocalceneal angle : the angle between the calcaneal inclination axis and the mid-talar axis , The lateral talocalcaneal angle should normally measure between 25 and 40°, \>40° diagnoses flatfoot deformity(12)
4. Talonavicular coverage angle: it is the medial angle between ( talar head articular surface and Proximal navicular articular surface) ,Interpreting the talonavicular coverage angle (13)Normal: \<7,Adult Acquired flatfoot disease: \>7°

Conditions

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Adult Acquired Flexible Flatfoot Deformity After Failure of Conservative Treatment

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

PROSPECTIVE

Interventions

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Extra-articular Lateral Column Lengthening Procedure

Lateral column lengthening (LCL), originally described by Evans, is an established procedure to correct stage II adult acquired flatfoot deformity (AAFD). However, the relative position between the facets is violated, and other problems may include nonunion, malunion, and calcaneocuboid (CC) joint subluxation. Herein, we report a modified extra-articular technique of LCL with hockey-stick osteotomy, which preserves the subtalar joint as a whole, increases bony apposition to enhance healing ability, and preserves the insertion of the calcaneofibular ligament to stabilize the posterior fragment to promote adduction of the forefoot

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

\- 1) Age : adult ( age above 16 years old and below 65 years old

2\) symptomatic flexible flat foot after failure of Conservative treatment

Exclusion Criteria

* 1- Age: (\&amp;lt;16,\&amp;gt;65) years old 2 -Previous foot surgery 3- autoimmune disease
* 4 Uncontrolled blood sugar 5- Osteoprotic patient 6- Infection
Minimum Eligible Age

16 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Assiut University

OTHER

Sponsor Role lead

Responsible Party

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Hosam Eldeen Kamal Mohamed

Hosam Eldeen Kamal Mohamed

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Faculty of medicine assiut university

Asyut, Assiuu, Egypt

Site Status RECRUITING

Countries

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Egypt

Central Contacts

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Hosam Eldeen Kamal Mohamed, Resident

Role: CONTACT

+201015106584

Facility Contacts

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Amr Abo Alfadle, Lecturer

Role: primary

+201007788699

Other Identifiers

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Extra-articular LCL of AAFFD

Identifier Type: -

Identifier Source: org_study_id

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