Coalition Excision and Corrective Osteotomies vs Coalition Excision and Arthroereisis in Management of Pes Planovalgus With Talocalcaneal Coalition in Adolescent
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 30
- 试验地点
- 1
- 主要终点
- Degree of deformity valgus
研究概览
简要总结
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
详细描述
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 .
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Triple (Participant, Care Provider, Investigator)
入排标准
- 年龄范围
- 10 Years 至 20 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •flat foot due to talocalcaneal coalition Symptomatic patient Resectable coalition Age between 10 and 20
排除标准
- •flat foot of other etiology Age more than 20 Concurrent knee deformity unless corrected before surgery Extensive coalition more than 50 %of posterior facet
研究组 & 干预措施
coalition excision and arthroereisis
Talocalcaneal bar excision is done and then arthroereisis implant is applied in subtalar joint to correct rigid pes planovalgus in adolescent
干预措施: Coaltion excision and arthroereisis (Procedure)
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
干预措施: Coalition excision and corrective osteotomies (Procedure)
结局指标
主要结局
Degree of deformity valgus
时间窗: two year postoperative
By goniometer
Subtalar range of motion
时间窗: two year postoperative
By geniometer for inversion and eversion
Degree of deformity valgus
时间窗: preoperative
By goniometer
Degree of deformity valgus
时间窗: three months
By goniometer
Degree of deformity valgus
时间窗: six months
By goniometer
Degree of deformity valgus
时间窗: one year postoperative
By goniometer
Subtalar range of motion
时间窗: preoperative
By geniometer for inversion and eversion
Subtalar range of motion
时间窗: three months
By geniometer for inversion and eversion
Subtalar range of motion
时间窗: six months
By geniometer for inversion and eversion
Subtalar range of motion
时间窗: one year postoperative
By geniometer for inversion and eversion
次要结局
- Patient satisfaction(two year)
- functional outcome(two year)
- functional outcome(preoperative)
- Patient satisfaction(preoperative)
- functional outcome(three months)
- Patient satisfaction(three months)
- functional outcome(six months)
- Patient satisfaction(six months)
- functional outcome(one year)
- Patient satisfaction(one year)