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Weightbearing Assessment of Tarsal Instability (WBCT)

Primary Purpose

Adult-acquired Flatfoot Disorder (AAFD)

Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Weightbearing CT
Sponsored by
Orthopedic Foot and Ankle Center, Ohio
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional diagnostic trial for Adult-acquired Flatfoot Disorder (AAFD) focused on measuring Adult-acquired flatfoot disorder (AAFD), flexible flatfoot, computed tomography (CT)

Eligibility Criteria

18 Years - 80 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Symptomatic group:

Inclusion Criteria:

1. adult patients (ages 18 -80 years old) diagnosed with Stage 2 AAFD

Exclusion Criteria:

  1. previous surgery
  2. infection
  3. tumor in the affected foot
  4. pregnancy

Control group:

Inclusion Criteria:

1. adult patients (ages 18 -80 years old) without foot deformity

Exclusion Criteria:

  1. history of previous foot and ankle surgery
  2. foot deformity
  3. known foot and ankle pathology
  4. pregnancy

Sites / Locations

  • Orthopedic Foot and Ankle Center

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Weightbearing CT (AAFD group)

Weightbearing CT (control group)

Arm Description

Weightbearing CT scan of affected foot

Weightbearing CT scan of normal foot

Outcomes

Primary Outcome Measures

Change in Joint Motion Between Touch-down Bearing Navicular and Full-weight Bearing Navicular
Relative motion, which is the position of the full weightbearing (FWB, greater that 75-100% body weight) navicular in comparison to the touch down weightbearing (TDWB, 25-50% body weight) navicular position, will be determined by comparing the joint orientation across these two points on one CT scan. The difference between the two positions is reported below.
Change in Navicular Rotation Between Touch-down Bearing and Full-weight Bearing
Relative motion across joint segments will be determined by comparing the joint orientation across two time points: touch-down bearing (TDWB, 25-50% body weight) and full-weight bearing (FWB, greater that 75-100% body weight) as measured on CT.

Secondary Outcome Measures

Full Information

First Posted
May 24, 2013
Last Updated
January 31, 2018
Sponsor
Orthopedic Foot and Ankle Center, Ohio
Collaborators
CurveBeam LLC
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1. Study Identification

Unique Protocol Identification Number
NCT01868789
Brief Title
Weightbearing Assessment of Tarsal Instability
Acronym
WBCT
Official Title
In-Vivo Physiologic Weight-Bearing Assessment of Tarsal Instability: Three-Dimensional Cone-Beam Computed Tomography Analysis
Study Type
Interventional

2. Study Status

Record Verification Date
January 2018
Overall Recruitment Status
Completed
Study Start Date
May 2013 (undefined)
Primary Completion Date
November 2013 (Actual)
Study Completion Date
November 2013 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Orthopedic Foot and Ankle Center, Ohio
Collaborators
CurveBeam LLC

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to compare the average joint motion and joint axis orientation of the hindfoot bones between patients diagnosed with adult-acquired flatfoot disorder (AAFD) and a control group of patients without foot deformity, using weight-bearing CT technology.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Adult-acquired Flatfoot Disorder (AAFD)
Keywords
Adult-acquired flatfoot disorder (AAFD), flexible flatfoot, computed tomography (CT)

7. Study Design

Primary Purpose
Diagnostic
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
23 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Weightbearing CT (AAFD group)
Arm Type
Experimental
Arm Description
Weightbearing CT scan of affected foot
Arm Title
Weightbearing CT (control group)
Arm Type
Active Comparator
Arm Description
Weightbearing CT scan of normal foot
Intervention Type
Radiation
Intervention Name(s)
Weightbearing CT
Primary Outcome Measure Information:
Title
Change in Joint Motion Between Touch-down Bearing Navicular and Full-weight Bearing Navicular
Description
Relative motion, which is the position of the full weightbearing (FWB, greater that 75-100% body weight) navicular in comparison to the touch down weightbearing (TDWB, 25-50% body weight) navicular position, will be determined by comparing the joint orientation across these two points on one CT scan. The difference between the two positions is reported below.
Time Frame
1 CT scan, one reading while touch-down bearing, one reading while full-weight bearing
Title
Change in Navicular Rotation Between Touch-down Bearing and Full-weight Bearing
Description
Relative motion across joint segments will be determined by comparing the joint orientation across two time points: touch-down bearing (TDWB, 25-50% body weight) and full-weight bearing (FWB, greater that 75-100% body weight) as measured on CT.
Time Frame
1 CT scan, one reading while touch-down bearing, one reading while full-weight bearing

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Symptomatic group: Inclusion Criteria: 1. adult patients (ages 18 -80 years old) diagnosed with Stage 2 AAFD Exclusion Criteria: previous surgery infection tumor in the affected foot pregnancy Control group: Inclusion Criteria: 1. adult patients (ages 18 -80 years old) without foot deformity Exclusion Criteria: history of previous foot and ankle surgery foot deformity known foot and ankle pathology pregnancy
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Gregory C Berlet, MD
Organizational Affiliation
Orthopedic Foot and Ankle Center
Official's Role
Principal Investigator
Facility Information:
Facility Name
Orthopedic Foot and Ankle Center
City
Westerville
State/Province
Ohio
ZIP/Postal Code
43082
Country
United States

12. IPD Sharing Statement

Learn more about this trial

Weightbearing Assessment of Tarsal Instability

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