Results of cast treatment and percutaneous achilles tendon lengthening for children with an achilles tendon contracture.

A prospective randomized controlled study to evaluate ankle dorsiflexion after cast immobilization and percutaneous gastrocnemius lengthening for children (6-18 years) with an equinus contracture.

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

NL-OMON

Registry ID

NL-OMON21028

Enrollment

Registered

2012-08-16

Start date

2012-09-01

Completion date

Unknown

Last updated

2024-02-28

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

idiopatic toe walkers: children who walked on their toes after de age of two and children who has a symptomatic equinus contracture (ankle dorsiflexion between -10 and 3 degree).

Interventions

Patients will be treated by percutaneous gastrocnemius lengthening. After surgery patients will be placed in a below-knee cast with also minimal weightbearing for 2 weeks and 4 weeks full weightbearin

Eligibility

Inclusion criteria

Inclusion criteria: 1. Patients (boys and girls) between 6-18 years; 2. Independent walking achieved; 3. Symptomatic limited dorsalflexion between -10 and 3 grade (with knee in extension and ankle in neutral position and it improves with knee in flexion); 4. Patients has been treated non-surgically for at least 6 month (NSAIDs, stretching, orthoses and physical therapy); 5. Written informed consent both parents/guardian (when patient < 12 year), written informed consent child and both parents/guardian (when child ≥ 12 year).

Exclusion criteria

Exclusion criteria: 1. Patients with signs of neurological, orthopaedic or psychiatric disease and patients with mental retardation; 2. Patients with previous surgery on the ankle; 3. Patients with previous treatment of cast immobilization because of equinus contracture; 4. Patients (12 years or older) whose parents are unable to give informed consent; 5. Patients (12 years or older) or parents who are unable to fill out questionnaires; 6. Patients (12 years or older) or parents who are unable to understand treatment.

Design outcomes

Primary

Measure	Time frame
Ankle dorsiflexion.	—

Secondary

Measure	Time frame
1. Walking pattern; 2. Satisfaction; 3. Pain; 4. Complications; 5. Activity level by Functional Mobility Scale; 6. AOFAS hindfoot scale: Measures pain functional activity and other complaints; 7. Ground reaction force. Foot pressure measurement (pre- and posttreatment), using the footscan® USB plate by RS International®. It records the pressure in different parts of the foot during gait. From these readings a pattern of gait is deducted with can be analysed both quantitatively and qualitatively.	—

Measure

Time frame

1. Walking pattern; 2. Satisfaction; 3. Pain; 4. Complications; 5. Activity level by Functional Mobility Scale; 6. AOFAS hindfoot scale: Measures pain functional activity and other complaints; 7. Ground reaction force. Foot pressure measurement (pre- and posttreatment), using the footscan® USB plate by RS International®. It records the pressure in different parts of the foot during gait. From these readings a pattern of gait is deducted with can be analysed both quantitatively and qualitatively.

—

Contacts

Public ContactA.F. Bemmel, van

Wijnand Nuijenstraat 54

annelies_v_b@hotmail.com+31 (0)6 34484529

Outcome results

None listed

Source: NL-OMON (via WHO ICTRP)