Pes Planus, Talocalcaneal Bar
Conditions
Brief summary
the investigators compare the corrective osteotomies vs arthroereisis in management of talcalcaneal coalition in adolescents as regard the outcome to provide the best intervention for the patient
Detailed description
In talocalcaneal coalition management is controversial so in this study the invstigators try to compare techniques other than coalition excision only or fusion only by using two types of intervention including first coalition excision and multiple corrective osteotomies according to deformity as evans ,medial displacement calcaneal osteotomy and cotton osteotomy vs coalition excision and arthroereisis the investigators compare functional and radiological outcomes and complication to provide the best management for these patients .
Interventions
PROCEDURECoaltion excision and arthroereisis
Both done to treat rigid flat foot with talocalcaneal coalition. Talocalcaneal coalition excision and management of rigid pes planovalgus in adolescent
PROCEDURECoalition excision and corrective osteotomies
Both done to treat rigid flat foot with talocalcaneal coalition. Talocalcaneal coalition excision and management of rigid pes planovalgus in adolescent
Sponsors
Ain Shams University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Caregiver, Investigator)
Intervention model description
2 groups one with the first intervention arthroereisis and bar excision the second with bar excision and osteotomies it may be one or multiple
Eligibility
Sex/Gender
ALL
Age
10 Years to 20 Years
Healthy volunteers
Yes
Inclusion criteria
* flat foot due to talocalcaneal coalition Symptomatic patient Resectable coalition Age between 10 and 20
Exclusion criteria
* flat foot of other etiology Age more than 20 Concurrent knee deformity unless corrected before surgery Extensive coalition more than 50 %of posterior facet
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Degree of deformity valgus | preoperative | By goniometer |
| Subtalar range of motion | preoperative | By geniometer for inversion and eversion |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| functional outcome | preoperative | By foot ankle ability measurement score |
| Patient satisfaction | preoperative | By foot and ankle disability score |
Other
| Measure | Time frame | Description |
|---|---|---|
| AOFAS | preoperative | he American Orthopaedic Foot & Ankle Society (AOFAS) score up to 100 the higher the score the better function |
Countries
Egypt
Outcome results
None listed