A Study on the Treatment of Recurrent Clubfoot With the Tendon Release of Musculi Tibialis Posterior

Not Applicable

• Conditions: Recurrent Clubfoot
• Interventions: Procedure: The tendon release of musculi tibialis posterior; Procedure: Anterior tibial tendon transfer(TATT); Procedure: Achilles tendon lengthing; Procedure: Fascial release

• Registration Number: NCT04212663
• Lead Sponsor: Guangzhou Women and Children's Medical Center

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.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2019-09-21
• Status Verified: 2019-12
• Study First Submitted QC: 2019-12-26
• Last Update Submitted: 2019-12-26
• Study First Posted: 2019-12-27
• Last Update Posted: 2019-12-27
• Study Start: 2020-02-01
• Primary Completion: 2020-02-01
• Study Completion: 2021-09-25

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 80

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

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
control	Achilles tendon lengthing	receive the procure of Anterior tibial tendon transfer(TATT) + Achilles tendon lengthing + fascial release
experiment	Fascial release	receive the procure of Anterior tibial tendon transfer(TATT) + Achilles tendon lengthing + fascial release+ The tendon release of musculi tibialis posterior
control	Fascial release	receive the procure of Anterior tibial tendon transfer(TATT) + Achilles tendon lengthing + fascial release
experiment	The tendon release of musculi tibialis posterior	receive the procure of Anterior tibial tendon transfer(TATT) + Achilles tendon lengthing + fascial release+ The tendon release of musculi tibialis posterior
control	Anterior tibial tendon transfer(TATT)	receive the procure of Anterior tibial tendon transfer(TATT) + Achilles tendon lengthing + fascial release
experiment	Anterior tibial tendon transfer(TATT)	receive the procure of Anterior tibial tendon transfer(TATT) + Achilles tendon lengthing + fascial release+ The tendon release of musculi tibialis posterior
experiment	Achilles tendon lengthing	receive the procure of Anterior tibial tendon transfer(TATT) + Achilles tendon lengthing + fascial release+ The tendon release of musculi tibialis posterior

Primary Outcome Measures

Name	Time	Method
The adduction of foot.	1 year after operation	Measure the angle of foot adduction

Secondary Outcome Measures

Name	Time	Method
The dorsiflextion of ankle.	1 year after operation	Measure the angle of ankle dorsiflextion