Clinical Study of MedShape FASTFORWARDTM Bunion Correction System in Treating Hallux Valgus Patients
试验速览
- 阶段
- 不适用
- 入组人数
- 12
- 试验地点
- 2
- 主要终点
- Intermetatarsal 1-2 angle postoperative
研究概览
简要总结
The FASTFORWARDTM Bunion Correction system has been cleared by the United States Food and Drug Administration for sale. This study is to investigate the clinical outcome of MedShape FASTFORWARDTM Bunion Correction system in treating hallux valgus patients at CMUH.
Criteria-There will be 12 subjects with a painful bunion and hallux valgus between 20 and 65 years of age and an adequate range of movement. Patients with rheumatoid arthritis, failed previous hallux valgus surgery and symptomatic and/or radiological arthritis of the MTP joint will be excluded.
Protocol-The PI and SC explain the detail and purpose of the project to the patient to the language to the patient is comfortable with. The explanation has to be at least 1 hour. Be sure the patients understand the full detail before the surgery.
Computer tomography scan, gait analysis and blood biochemical analysis will be taken in 1-2 weeks after patient is enrolled in the subject. Before surgery, the titration bone tether plate designed to match patent's second metatarsal contour will be manufactured using 3D printing technology. Printed titanium plate and PEEK screws used to secure tethering suture tape in the first metatarsal will be sterilized prior implantation. The surgery time, recovery period and effectiveness after implantation will be recorded. To observing the recovery situation, patients will back to out-patient clinic at 1st, 2nd, 3rd, 4th, 6th, 12th, 24th weeks. During these period, physical examination, wound dressing, VAS, X-ray scan will be arranged. The detail arrangements below:
1.1st week: physical examination, wound dressing, VAS
2.2nd week: physical examination, wound dressing, VAS
3.3rd week: physical examination, wound dressing, VAS, X-ray scan, remove stiches
4.4th week: physical examination, VAS
5.6th week: physical examination, VAS, X-ray scan
6.12th week: physical examination, VAS, X-ray scan
7.24th week: physical examination, VAS, X-ray scan, CT scan, gait analysis
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 20 Years 至 65 Years(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients with a painful bunion and hallux valgus between 20 and 65 years of age and an adequate range of movement
排除标准
- •Patients with rheumatoid arthritis, failed previous hallux valgus surgery and symptomatic and/or radio-logical arthritis of the MTP joint
研究组 & 干预措施
FASTFORWARDTM Bunion
The participants are treated with FASTFORWARDTM Bunion Correction system. The FASTFORWARDTM Bunion Correction system employed 3D printed titanium bone tether plate at second metatarsal. Due to the merit of 3D printing technology, the plate is designed to broadly distribute forces across bone to secure mechanical integrity of the bone. The FASTFORWARDTM Bunion Correction system has been cleared by the United States Food and Drug Administration.
干预措施: FASTFORWARDTM Bunion (Device)
Conventional Surgery
The participants are treated with fusion surgery. This procedures is a standard treatment for 1st metatarsal hallux valgus by cutting, realigning and fusing the 1st metatarsal or fusing the metatarsal-cuneiform joint.
干预措施: Conventional surgery (Procedure)
结局指标
主要结局
Intermetatarsal 1-2 angle postoperative
时间窗: 6 month
Evaluating the angle among the 1st and the 2nd metatarsal assess by X-ray scan and CT scan
次要结局
- Assessment Foot Pressure(6 month)
- Pain using a visual analog scale(6 month)
- Intermetatarsal 1-2 angle(6 month)
研究者
Chien-Chung Kuo
Attending Physician, Department of Orthopedics
China Medical University Hospital
