Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.Infants (upto 12 months of age), of either gender 2.Idiopathic CTEV undergoing Ponseti method of casting 3.Parents/Guardians of patients having the ability to understand, willing to participate in the clinical investigation and subsequent follow-up.
Exclusion criteria
Exclusion criteria: 1.Non-Idiopathic CTEV like Athrogryposis, syndromic and neurogenic CTEV 2.Any Previous tenotomy/surgical intervention/soft tissue release for clubfoot correction 3.Infants unfit for undergoing surgery under general anaesthesia after Pre-Anaesthetic check-up. Being an RCT, this criterion is taken up to eliminate any bias in randomisation that might occur during allotment of groups in patients unfit for general anaesthesia.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To assess the completeness of tenotomy by means of successful correction of ankle equinus (ankle dorsiflexion 15 degrees) between the groupsTimepoint: Immediately post tenotomy, At 3weeks post tenotomy, At 3 months post tenotomy, At 6 months post tenotomy | — |
Secondary
| Measure | Time frame |
|---|---|
| To assess periprocedural adverse effects (patient related, anaesthesia related or those associated with surgical procedure).Timepoint: 6 months follow up;To assess post-operative pain in the child using revised FLACC scaleTimepoint: Postoperative period;To assess parental anxiety through STAI questionnaireTimepoint: Pre and Postoperative period;To assess surgeon’s response through a Surgeons satisfactory questionnaireTimepoint: Postoperative period;To assess cost effectiveness of the procedure.Timepoint: During discharge;To assess relapse rate following the procedure, between the groups, during the follow up period of 6 months.Timepoint: 6 months follow up | — |
Countries
India
Contacts
PGIMER