Radiological Outcomes of Modified Extra-articular Lateral Column Lengthening Procedure for Correction of Adult Acquired Flexible Flatfoot Deformity
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 1
- 试验地点
- 1
- 主要终点
- Radiological outcome & by standard erect plain x ray after 3 months
研究概览
简要总结
To assess radiological and functional outcomes of modified extra-articular lateral column lengthening procedure for correction of adult acquired flexible flatfoot deformity
详细描述
Measurement of
- Calcencal pitch : This angle is formed on a weight-bearing lateral foot radiograph between the calcaneal Inclination axis and the supporting horizontal surface(10), normal ranges of between 10-25° and 20-30 have Been proposed(11)
- Meary's angle: It is the angle between a line drawn along the longitudinal axis of the talus (mid-talar axis) and the first metatarsal (first metatarsal axis) , typically', Meary's angle is 0°, with abnormal values considered angle >4° convex upward: pes cavus , angle <-4 convex downward: pes planus, It can be used to classify the severity of deformity
- lateral talocalceneal angle : the angle between the calcaneal inclination axis and the mid-talar axis , The lateral talocalcaneal angle should normally measure between 25 and 40°, >40° diagnoses flatfoot deformity(12)
- Talonavicular coverage angle: it is the medial angle between ( talar head articular surface and Proximal navicular articular surface) ,Interpreting the talonavicular coverage angle (13)Normal: <7,Adult Acquired flatfoot disease: >7°
研究设计
- 研究类型
- Observational
- 观察模型
- Case Only
- 时间视角
- Prospective
入排标准
- 年龄范围
- 16 Years 至 65 Years（Child, Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Age : adult ( age above 16 years old and below 65 years old
- •symptomatic flexible flat foot after failure of Conservative treatment
排除标准
- •1- Age: (&lt;16,&gt;65) years old 2 -Previous foot surgery 3- autoimmune disease
- •4 Uncontrolled blood sugar 5- Osteoprotic patient 6- Infection
结局指标
主要结局
Radiological outcome & by standard erect plain x ray after 3 months
时间窗: 3 months after the surgery
Measurement of 1. Calcencal pitch : this angle is formed on a weight-bearing lateral foot radiograph between the calcaneal Inclination axis and the supporting horizontal surface , correction angle needed ≈ 15-25°. 2. Meary's angle: It is the angle between a line drawn along the longitudinal axis of the talus (mid-talar axis) and the first metatarsal (first metatarsal axis) , correction angle needed ≈ 0-1°. 3. lateral talocalceneal angle : the angle between the calcaneal inclination axis and the mid-talar axis correction angle ≈ 25 and 40° . 4. Talonavicular coverage angle: it is the medial angle between ( talar head articular surface and Proximal navicular articular surface
次要结局
- clinical outcome by American orthopedic foot and ankle score (hindfoot(6 months after the surgery when the patient restore his life activities maximally)
研究者
Hosam Eldeen Kamal Mohamed
Hosam Eldeen Kamal Mohamed
Assiut University