Flat Foot
Conditions
Keywords
flat foot, calcaneal osteotomy
Brief summary
Adult-acquired flatfoot deformity (AAFD) often requires surgical correction when conservative methods fail. Calcaneal displacement osteotomy is a key procedure in restoring alignment. This study introduces a novel K-wire technique to enhance control during surgery and minimize complications related to manual manipulation. It builds on prior research highlighting the limitations of traditional approaches in achieving precise fragment positioning.
Detailed description
Flat foot deformity, particularly adult - acquired flatfoot (AAFD), often necessitates surgical intervention when conservative treatment fail. Calcaneal displacement osteotomy is a common surgical procedure for correcting calcaneal displacement and achieving stable fixation. The proposed K-wire technique offers a novel approach to improve control and reduce complications associated with manual manipulation during surgery. Previous studies have indicated challenges with traditional methods in achieving precise fragment control. This study aims to address these gaps.
Interventions
PROCEDUREoblique K-wire technique in controlling Calcaneal displacement during osteotomy in flatfoot correction
Under spinal Anaesthesia , patients will placed in lateral decubitus position. A standard lateral incision will be made over the calcaneus, and the osteotomy site will be exposed. An oblique K-wire will be inserted percutaneously into the posterior calcaneus under fluoroscopic guidance to facilitate the desired displacement. Cannulated screws will then be inserted across the osteotomy site to secure the calcaneal fragment. Post-operative care will include a non-weight bearing protocol for six weeks, followed by gradual weight bearing as tolerated.
Sponsors
Assiut University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
using an oblique K-wire technique in controlling Calcaneal displacement during osteotomy in flatfoot correction
Eligibility
Sex/Gender
ALL
Age
16 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
* symptomatic flatfoot that will undergo flatfoot correction with calcaneal displacement osteotomy.
Exclusion criteria
* prior foot surgery * Severe comorbidities or contradictions of the surgery
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| assessment of degree of desired displacement | baseline | Intra-operative assessment of degree of desired displacement clinical and radiological |
Countries
Egypt
Contacts
Primary ContactMina Safwat Fekry, assistant lecturer
Backup ContactMohammed Mostafa Kotb, professor
Outcome results
None listed