Active clinical trials for "Foot Deformities"

The main purpose of this study is to find out if scanning the foot using a 3D scanner influences the effectiveness of custom made insoles, compared to the more traditional approach of taking a foam-box impression cast of the foot. Both of these methods are currently used as standard care in the NHS Greater Glasgow and Clyde (GGC) Orthotic Department. In this study, insoles will be manufactured either from a direct 3D scan of the foot, or from a foam-box impression cast, and a series of questionnaires will be used to measure any changes in foot pain and foot function. The results from this study will be used to develop an information resource for both patients and Orthotists which will fill gaps in our current knowledge and hopefully guide us further in providing the best possible care for future patients who require insoles.

The study in question is a post market clinical follow up (PMCF) study to evaluate the safety and performance of bioabsorbable headless compression screw Inion CompressOn in selected fracture, osteotomy and arthrodeses operations of the foot and ankle. The study recruits 125 adult patients who meet the acceptance criteria. The follow-up time for each study patient is 4 years. The study is a single center single group study which is conducted in Tampere University Hospital (TAYS) in Finland. The main focus of the study in terms of performance is to evaluate the bone healing/ossification of operated areas. The main focus of the study in terms of safety is to evaluate the occurrence of adverse events and required revision surgeries that are or might be related to the study device.

To Check the effects of the low dye taping technique versus the Robert Debre method on foot posture and range of motion in children with club feet.

This prospective study aims to evaluate whether the implementation of a virtual reality hypnosedation (VRH)protocol reduces preoperative anxiety and increases patient comfort before, during, and after outpatient foot surgery.

Infants undergoing Ponseti treatment for idiopathic clubfoot often require percutaneous tendoachilles lengthening (TAL) after serial casting. This procedure is commonly performed in the office with a local anesthetic to avoid exposure to general anesthesia in the operating room. Topical anesthetic creams are commonly used to provide local analgesia for this procedure. The cream is applied to the infant's skin around the heel cord and requires 30-60 minutes to provide adequate analgesia, reaching a depth of up to 5 mm at maximum effect. Alternative to analgesic cream, the J-tip is a needle-free jet injection system that uses compressed CO2 instead of a needle to push 0.25 ml of lidocaine into the skin, providing local analgesia at the site of administration. This method likewise provides analgesia to the site of application at a depth of 5-8 mm, yet only takes approximately 1-2 minutes to achieve maximum effect. Aim 1: Determine which pain management method, L.M.X.4 Cream vs. J-tip 1% Xylocaine MPF Injection, provides the greatest pain relief to infants with clubfoot undergoing an in-office percutaneous TAL. Hypothesis: J-tip 1% Xylocaine MPF injection will provide equal or greater pain control when compared to L.M.X.4 cream in infants undergoing an in-office percutaneous TAL. Aim 2: Determine if there is a difference in the rate of adverse events between the two pain management methods, L.M.X.4 Cream vs. J-tip 1% Xylocaine MPF Injection. Hypothesis: J-tip 1% Xylocaine MPF injection will not be associated with an increased rate of adverse events in comparison to L.M.X.4 cream in infants undergoing an in-office percutaneous TAL. If J-tip Xylocaine MPF injection is shown to provide comparable or better pain control without an increase in adverse events, use of this needle-free injection system will decrease the overall length of visit and the cost of the procedure, thus increasing the quality, safety, and value.

Effect of systematic dexamethasone on the duration of popliteal nerve block after pediatric ankle/foot surgery

Adequate ankle dorsiflexion range of motion is important for normal performance of functional activities such as walking, running and climbing stairs. It is important to gain the ankle dorsiflexion range of motion, which affects the functional activities and sports associated with squats and lunges. Stretching and manual therapy are the most frequently used applications to gain range of motion. Manual therapy has been proposed as a possible treatment to improve mobility and restore arthrokinematics of joints. Movement mobilization, which is a manual therapy method, is an active joint mobilization concept. Talocrural mobilization with the movement technique is an extension of traditional joint mobilizations and allows the patient to engage in therapy in an active, partial weight-bearing lunge position. There are variations of this technique that can be applied by the clinician or by the individual himself. Our aim in this study is to compare the effects of movement and mobilization applications, which can be applied by the clinician or by the individual himself, on balance, gait, jumping and plantar pressure. Healthy asymptomatic individuals between the ages of 18-35 whose active ankle dorsiflexion range of motion as measured by the weight-bearing lunge test in the dominant extremity is below 35˚ will be included in the study. According to the inclusion criteria, the individuals to be included in the study will be randomly divided into three groups. Mobilization technique by the clinician will be applied to one group, and the mobilization technique by the individual himself will be applied to another group. The third group will be the control group. Evaluations will be made before and after mobilization applications. Balance will be evaluated with Y balance test, gait and jump will be evaluated with G-Walk, and plantar pressure will be evaluated with pedobarography device.

Hallux valgus is one of the most common forefoot deformities. Its prevalence increases with age, representing approximately 23% in adulthood, being more common in females. Some studies indicate that the use of the insole associated with the finger separator promotes pain relief and that this may be related to better alignment of the hallux. However, there is still no consensus about the ideal insole or how long it should be used to relieve pain or improve function in patients with hallux valgus. Therefore, the objective of this study will be to evaluate the effect of the customized insole on pain and function of individuals with symptomatic hallux valgus.

The goal of this observational study is to compare the use of a screw made of human bone (Shark-Screw®, Surgebright-GmbH) with the metal/Bio-Tenodesis screw (Arthrex) in the treatment of the symptomatic flatfoot using the medializing calcaneus osteotomy with flexor digitorum longus transfer (FDL) in adult patients. The advantage of the human bone screw is that after surgery no hardware removal is necessary. The screw is transformed from the body to normal bone. The main questions it aims to answer are: Can the human bone screw achieve union rates like the metal/Bio-Tenodesis screw? Is the time to union similar between the different screws? Is the complication rate similar between the different screws? Are the activity scores American Orthopaedic Foot and Ankle Society (AOFAS), Foot and Ankle Outcome Score (FAOS) and Foot Function Index (FFI) after surgery similar in the compared patient groups? Participants will have the surgery follow-ups at 6 weeks, 6 months, 1 and 2 years. X-rays are performed at each follow up. CT-scans are performed after 6 months. activity scores are collected at the follow up after 6 months, 1 year and 2 years.

The goal of this observational study is to investigate the relationships between the medial longitudinal arch (MLA) height of the foot and clinical and radiological characteristics of knee osteoarthritis in adult patients 50 aged and over. The main questions it aims to answer are: Is there any relationship between knee pain and disability in knee osteoarthritis and MLA height? Is there any relationship between the radiologic severity of knee osteoarthritis and MLA height? Is there any relationship between knee joint alignment in knee osteoarthritis and MLA height?