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Morphological and Functional Evaluation of Adult Flat Foot Before and After Corrective Surgery

Primary Purpose

Flat Feet

Status
Completed
Phase
Not Applicable
Locations
Italy
Study Type
Interventional
Intervention
morphological and functional evaluation of adult flat foot
Sponsored by
Istituto Ortopedico Rizzoli
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Flat Feet

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • patients with idiopathic flat foot with indication for corrective surgical treatment according to Grice (arthrodesis of the subtalar joint)
  • age between 18 and 65 years
  • BMI less than 40
  • signature of informed consent.

Exclusion Criteria:

  • patients with severe alterations or other pathologies affecting the foot and lower limb
  • severe vascular and neurological systemic diseases
  • systemic diseases that can compromise bone consolidation

Sites / Locations

  • Istituto Ortopedico Rizzoli

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

flat foot patients

Arm Description

20 patients recruited consecutively and candidates for surgery to correct the adult flat foot according to the Grice technique.

Outcomes

Primary Outcome Measures

Weight bearing computed tomography parameter
calcaneal pitch angle (degree)
Gait Analysis parameter
medial longitudinal arch

Secondary Outcome Measures

Pain clinical examination parameter
visual analogue scale of the foot
Posture clinical examination parameter
Foot Posture Index
Function clinical examination parameter
Foot function Index

Full Information

First Posted
November 18, 2019
Last Updated
February 1, 2023
Sponsor
Istituto Ortopedico Rizzoli
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1. Study Identification

Unique Protocol Identification Number
NCT04174482
Brief Title
Morphological and Functional Evaluation of Adult Flat Foot Before and After Corrective Surgery
Official Title
Pilot Study of Morphological and Functional Evaluation of Adult Flat Foot by Weight Bearing CT and Gait Analysis Before and After Corrective Surgery
Study Type
Interventional

2. Study Status

Record Verification Date
November 2019
Overall Recruitment Status
Completed
Study Start Date
December 3, 2018 (Actual)
Primary Completion Date
December 3, 2020 (Actual)
Study Completion Date
December 31, 2022 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Istituto Ortopedico Rizzoli

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
Morphological weight bearing computed tomography parameters and gait analysis can implement the evaluation of the flat foot. Weight bearing CT is useful to verify the severity of the 3D deformities typical of flat foot, while kinematic and kinetic variables of gait is able to quantify the functional improvements of the foot after surgery.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Flat Feet

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
16 (Actual)

8. Arms, Groups, and Interventions

Arm Title
flat foot patients
Arm Type
Experimental
Arm Description
20 patients recruited consecutively and candidates for surgery to correct the adult flat foot according to the Grice technique.
Intervention Type
Procedure
Intervention Name(s)
morphological and functional evaluation of adult flat foot
Intervention Description
Evaluations are realized by weight bearing computed tomography and by Gait analysis in the pre-operative phase and at a 6-months follow-up from the surgery with Grice technique
Primary Outcome Measure Information:
Title
Weight bearing computed tomography parameter
Description
calcaneal pitch angle (degree)
Time Frame
change from baseline at 6-months
Title
Gait Analysis parameter
Description
medial longitudinal arch
Time Frame
change from baseline at 6-months
Secondary Outcome Measure Information:
Title
Pain clinical examination parameter
Description
visual analogue scale of the foot
Time Frame
pre-operative phase and at a 6-months follow-up from the intervention
Title
Posture clinical examination parameter
Description
Foot Posture Index
Time Frame
pre-operative phase and at a 6-months follow-up from the intervention
Title
Function clinical examination parameter
Description
Foot function Index
Time Frame
pre-operative phase and at a 6-months follow-up from the intervention

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: patients with idiopathic flat foot with indication for corrective surgical treatment according to Grice (arthrodesis of the subtalar joint) age between 18 and 65 years BMI less than 40 signature of informed consent. Exclusion Criteria: patients with severe alterations or other pathologies affecting the foot and lower limb severe vascular and neurological systemic diseases systemic diseases that can compromise bone consolidation
Facility Information:
Facility Name
Istituto Ortopedico Rizzoli
City
Bologna
ZIP/Postal Code
40136
Country
Italy

12. IPD Sharing Statement

Citations:
PubMed Identifier
27810020
Citation
Burssens A, Peeters J, Buedts K, Victor J, Vandeputte G. Measuring hindfoot alignment in weight bearing CT: A novel clinical relevant measurement method. Foot Ankle Surg. 2016 Dec;22(4):233-238. doi: 10.1016/j.fas.2015.10.002. Epub 2015 Oct 30.
Results Reference
result
PubMed Identifier
25819716
Citation
Buldt AK, Levinger P, Murley GS, Menz HB, Nester CJ, Landorf KB. Foot posture is associated with kinematics of the foot during gait: A comparison of normal, planus and cavus feet. Gait Posture. 2015 Jun;42(1):42-8. doi: 10.1016/j.gaitpost.2015.03.004. Epub 2015 Mar 12.
Results Reference
result
PubMed Identifier
16965916
Citation
Leardini A, Benedetti MG, Berti L, Bettinelli D, Nativo R, Giannini S. Rear-foot, mid-foot and fore-foot motion during the stance phase of gait. Gait Posture. 2007 Mar;25(3):453-62. doi: 10.1016/j.gaitpost.2006.05.017. Epub 2006 Sep 11.
Results Reference
result

Learn more about this trial

Morphological and Functional Evaluation of Adult Flat Foot Before and After Corrective Surgery

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