Disability or Chronic Disease Leading to Disablement
Conditions
Keywords
Neuro-Orthopaedics, Traction, Tenotomy, Disabled persons
Brief summary
People with neuromotor disability (i.e. following an inborn or acquired spinal cord, cerebral or peripheral neurological lesion) are at risk of neuro-orthopaedic disorders. Microinvasive percutaneous needle tenotomy is a frequent use alternative to open surgery to treat limb deformities. A lower extremity traction is performed in our unit during 2 to 7 days after surgery of the knee flexor muscles. The aim of this study is to describe the efficiency of lower extremity traction on the popliteal angle after percutaneous needle tenotomy of the knee flexor muscles.
Detailed description
This is a prospective, monocentric, cohort study of neurological disabled inpatients subjects treated in the perioperative disability unit (UPOH) of our university hospital for limb deformities by percutaneous needle tenotomy of the knee flexor muscles. All eligible inpatient subjects with neuromotor disability and admitted for the treatment of limb deformities by percutaneous needle tenotomy of the knee flexor muscles will be consecutively included. Data will be collected from the patients' medical records, in particular data related to their clinical, radiological, biological, and physiological examinations. This is a routine care study; no procedures are added for research purposes. It is an ancillary study to the NO-AGING study.
Interventions
PROCEDURETraction
Postoperative lower extremity traction
Sponsors
Assistance Publique - Hôpitaux de Paris
Institut de Sante Parasport Connecte Synergies
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Inclusion criteria
* Patients \>= 18 years old ; * Treated in the Perioperative Disability Unit (UPOH) of the Physical Medicine and Rehabilitation Department of our university hospital; * Admitted for the treatment of limb deformities by percutaneous needle tenotomy of the knee flexor muscles ; * Having a neuromotor disability; * No opposition to be enrolled in the study from the patient, or from a legally authorized close relative if the patient's state of health does not allow it; * Affiliation to a social security scheme.
Exclusion criteria
* Associated open surgery ; * Associated bone surgery ; * Under court protection.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Popliteal angle at the end of the traction | Daily, during the traction (up to 7 days). | Difference in popliteal angle between the beginning and end of traction, evaluated with the Kinovea angle measurement tool. In case of bilateral traction, the average of the differences of each limb will be considered. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Success of surgery | At 30 days after surgery | Evaluated by the Goal Assessment Scale (GAS). Minimum and maximum values : -2 (worse outcome) / +2 (better outcome) |
| Popliteal angle | Daily, during the traction (up to 7 days). | Evaluated by goniometry or Kinovea |
| Knee angle | Daily, during the traction (up to 7 days). | Evaluated by goniometry or Kinovea |
| Pain | Daily, during the traction (up to 7 days). | Numeric scale or Algoplus according to disability. Minimum and maximum values for the Numeric scale : 0 (no pain) / 10 (worst pain). Minimum and maximum values for the Algoplus scale : 0 (no pain) / 5 (worst pain). |
| Skin condition | Daily, during the traction (up to 7 days). | Presence of erythema, phlyctens or superficial pressure sores |
Countries
France
Contacts
Primary ContactFrançois Genêt, MD-PhD
Backup ContactVincent T. Carpentier, MD-MSc
Outcome results
None listed