A Study on the Treatment of Recurrent Clubfoot With the Tendon Release of Musculi Tibialis Posterior
Primary Purpose
Recurrent Clubfoot
Status
Unknown status
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
The tendon release of musculi tibialis posterior
Anterior tibial tendon transfer(TATT)
Achilles tendon lengthing
Fascial release
Sponsored by
About this trial
This is an interventional treatment trial for Recurrent Clubfoot focused on measuring Musculi tibialis posterior, Tendon release, Anterior tibial tendon transfer
Eligibility Criteria
Inclusion Criteria:
- Clinical diagnosis of recurrent idiopathic clubfoot
- The initial treatment was treated with the ponseti method
- Dynamic supination
- The max-dorsiflexion of angle <5°
- The fore foot is adduct
- The sole is cavus
Exclusion Criteria:
- Symptomatic recurrent clubfoot
- Tarsal fusion
- Rigid recurrent clubfoot
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm Type
Placebo Comparator
Experimental
Arm Label
control
experiment
Arm Description
receive the procure of Anterior tibial tendon transfer(TATT) + Achilles tendon lengthing + fascial release
receive the procure of Anterior tibial tendon transfer(TATT) + Achilles tendon lengthing + fascial release+ The tendon release of musculi tibialis posterior
Outcomes
Primary Outcome Measures
The adduction of foot.
Measure the angle of foot adduction
The adduction of foot.
Measure the angle of foot adduction
Secondary Outcome Measures
The dorsiflextion of ankle.
Measure the angle of ankle dorsiflextion
The dorsiflextion of ankle.
Measure the angle of ankle dorsiflextion
Full Information
NCT ID
NCT04212663
First Posted
September 21, 2019
Last Updated
December 26, 2019
Sponsor
Guangzhou Women and Children's Medical Center
1. Study Identification
Unique Protocol Identification Number
NCT04212663
Brief Title
A Study on the Treatment of Recurrent Clubfoot With the Tendon Release of Musculi Tibialis Posterior
Official Title
A Multicenter Study on the Treatment of Recurrent Clubfoot With the Tendon Release of Musculi Tibialis Posterior
Study Type
Interventional
2. Study Status
Record Verification Date
December 2019
Overall Recruitment Status
Unknown status
Study Start Date
February 1, 2020 (Anticipated)
Primary Completion Date
February 1, 2020 (Anticipated)
Study Completion Date
September 25, 2021 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Guangzhou Women and Children's Medical Center
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
5. Study Description
Brief Summary
The musculi tibialis posterior can adduct the foot, so releasing the tedon of the muscle can help to correct the deformity of the forefoot adduction.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Recurrent Clubfoot
Keywords
Musculi tibialis posterior, Tendon release, Anterior tibial tendon transfer
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Participant
Allocation
Randomized
Enrollment
80 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
control
Arm Type
Placebo Comparator
Arm Description
receive the procure of Anterior tibial tendon transfer(TATT) + Achilles tendon lengthing + fascial release
Arm Title
experiment
Arm Type
Experimental
Arm Description
receive the procure of Anterior tibial tendon transfer(TATT) + Achilles tendon lengthing + fascial release+ The tendon release of musculi tibialis posterior
Intervention Type
Procedure
Intervention Name(s)
The tendon release of musculi tibialis posterior
Intervention Description
To release the tendon of musculi tibialis posterior.
Intervention Type
Procedure
Intervention Name(s)
Anterior tibial tendon transfer(TATT)
Intervention Description
To transfer the the tendon of anterior tibial from the navicular to the third cuneiform.
Intervention Type
Procedure
Intervention Name(s)
Achilles tendon lengthing
Intervention Description
To lengthen the achilles tendon by using two incisions.
Intervention Type
Procedure
Intervention Name(s)
Fascial release
Intervention Description
To cut off the metatarsal fascia in the middle part.
Primary Outcome Measure Information:
Title
The adduction of foot.
Description
Measure the angle of foot adduction
Time Frame
Six months after the operation
Title
The adduction of foot.
Description
Measure the angle of foot adduction
Time Frame
1 year after operation
Secondary Outcome Measure Information:
Title
The dorsiflextion of ankle.
Description
Measure the angle of ankle dorsiflextion
Time Frame
Six months after the operation
Title
The dorsiflextion of ankle.
Description
Measure the angle of ankle dorsiflextion
Time Frame
1 year after operation
10. Eligibility
Sex
All
Minimum Age & Unit of Time
4 Years
Maximum Age & Unit of Time
6 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Clinical diagnosis of recurrent idiopathic clubfoot
The initial treatment was treated with the ponseti method
Dynamic supination
The max-dorsiflexion of angle <5°
The fore foot is adduct
The sole is cavus
Exclusion Criteria:
Symptomatic recurrent clubfoot
Tarsal fusion
Rigid recurrent clubfoot
12. IPD Sharing Statement
Learn more about this trial
A Study on the Treatment of Recurrent Clubfoot With the Tendon Release of Musculi Tibialis Posterior
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