A prospective randomised controlled study to evaluate ankle dorsiflexion after cast immobiliation and percutaneous gastrocnemius lengthening, for neurologic healthy children (6-18) with an symptomatic equinus contracture.
- Conditions
- equinus contractureshort achilles tendon10028396
- Registration Number
- NL-OMON38124
- Lead Sponsor
- Spaarne Ziekenhuis
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Withdrawn
- Sex
- Not specified
- Target Recruitment
- 80
Patients (boys and girls) between 6-18 years
independent walking achieved
symptomatic limited ankle dorsi flexion between -10 and 3 degrees (with knee in extension and ankle in neutral position)
patient has been treated non-surgically for at least 6 month (NSAIDs, stretching, orthoses and physical therapy)
Written informed consent both parents/ guardian (children 6-12 years)
written informed consent both parents/ guardian and child (children 12-18 years)
Patients with signs of neurological, orthopaedic or psychiatric disease.
Patients with mental retardation
Patients with previous surgery on the ankle
Patients who were already treated with castimmobilisation because of equinus contracture
Patients (12 years or older) whose parents are unable to understand informed consent
Patients (12 years or older) or parents who are unable to fill out questionnaires
Patients (12 years or older) or parents who are unable to understand treatment
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method <p>Primary end-point will be ankle dorsiflexion. </p><br>
- Secondary Outcome Measures
Name Time Method <p>Secondary end-point will be satisfaction, walking pattern, pain, complications,<br /><br>activity level and foot pressure. Functional outcome will be measured by:<br /><br>AOFAS-score and functional mobility scale (FMS).</p><br>