Management of Pes Planovalgus With Talocalcaneal Coalition ,Osteotomy vs Arthroereisis

Not Applicable

Completed

• Conditions: Pes Planus; Talocalcaneal Bar
• Interventions: Procedure: Coaltion excision and arthroereisis; Procedure: Coalition excision and corrective osteotomies

• Registration Number: NCT05170698
• Lead Sponsor: Ain Shams University

Brief Summary

the investigators compare the corrective osteotomies vs arthroereisis in management of talcalcaneal coalition in adolescents as regard the outcome to provide the best intervention for the patient

Detailed Description

In talocalcaneal coalition management is controversial so in this study the invstigators try to compare techniques other than coalition excision only or fusion only by using two types of intervention including first coalition excision and multiple corrective osteotomies according to deformity as evans ,medial displacement calcaneal osteotomy and cotton osteotomy vs coalition excision and arthroereisis the investigators compare functional and radiological outcomes and complication to provide the best management for these patients .

Study Timeline

• Study Start: 2018-11-18
• Study First Submitted: 2021-06-27
• Primary Completion: 2021-12-18
• Study First Submitted QC: 2021-12-27
• Study First Posted: 2021-12-28
• Study Completion: 2021-12-30
• Status Verified: 2022-06
• Last Update Submitted: 2022-06-01
• Last Update Posted: 2022-06-03

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 30

Inclusion Criteria

• flat foot due to talocalcaneal coalition Symptomatic patient Resectable coalition Age between 10 and 20

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Exclusion Criteria

• flat foot of other etiology Age more than 20 Concurrent knee deformity unless corrected before surgery Extensive coalition more than 50 %of posterior facet

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
coalition excision and arthroereisis	Coaltion excision and arthroereisis	Talocalcaneal bar excision is done and then arthroereisis implant is applied in subtalar joint to correct rigid pes planovalgus in adolescent
coalition excision and corrective osteotomies	Coalition excision and corrective osteotomies	Talocalcaneal bar excision is done and then according to degree of deformity either medial displacement calcaneal osteotomy or evans or cotton osteotomy is done or combined together to correct rigid pes planovalgus in adolescents

Primary Outcome Measures

Name	Time	Method
Degree of deformity valgus	two year postoperative	By goniometer
Subtalar range of motion	two year postoperative	By geniometer for inversion and eversion

Secondary Outcome Measures

Name	Time	Method
Patient satisfaction	two year	By foot and ankle disability score
functional outcome	two year	By foot ankle ability measurement score

Trial Locations

Locations (1)

Ain shams university; 🇪🇬 Cairo, Egypt