Recurrent Clubfoot
Conditions
Keywords
Musculi tibialis posterior, Tendon release, Anterior tibial tendon transfer
Brief summary
The musculi tibialis posterior can adduct the foot, so releasing the tedon of the muscle can help to correct the deformity of the forefoot adduction.
Interventions
PROCEDUREThe tendon release of musculi tibialis posterior
To release the tendon of musculi tibialis posterior.
PROCEDUREAnterior tibial tendon transfer(TATT)
To transfer the the tendon of anterior tibial from the navicular to the third cuneiform.
PROCEDUREAchilles tendon lengthing
To lengthen the achilles tendon by using two incisions.
PROCEDUREFascial release
To cut off the metatarsal fascia in the middle part.
Sponsors
Guangzhou Women and Children's Medical Center
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
4 Years to 6 Years
Healthy volunteers
No
Inclusion criteria
* Clinical diagnosis of recurrent idiopathic clubfoot * The initial treatment was treated with the ponseti method * Dynamic supination * The max-dorsiflexion of angle \<5° * The fore foot is adduct * The sole is cavus
Exclusion criteria
* Symptomatic recurrent clubfoot * Tarsal fusion * Rigid recurrent clubfoot
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The adduction of foot. | Six months after the operation | Measure the angle of foot adduction |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The dorsiflextion of ankle. | Six months after the operation | Measure the angle of ankle dorsiflextion |
Outcome results
None listed