Ignite Creation Date:
2024-05-06 @ 8:15 PM
Last Modification Date:
2024-10-26 @ 3:23 PM
Study NCT ID:
NCT06300645
Status:
ENROLLING_BY_INVITATION
Last Update Posted:
2024-03-12
First Post:
2024-03-03
Brief Title:
SPLATT to Peroneus Brevis vs TATT to Lateral Cuneiform
Sponsor:
Assiut University
Organization:
Assiut University
Study Overview
Official Title:
Split Tibialis Anterior Tendon Transfer to Peroneus Brevis vs Total Tibialis Anterior Tendon Transfer to Lateral Cuneiform in Recurrent Congenital Talipes Equinovarus A Randomized Controlled Trial
Status:
ENROLLING_BY_INVITATION
Status Verified Date:
2024-03
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
Recurrent CTEV
Brief Summary:
Congenital talipes equinovarus is a common congenital foot deformity involving hindfoot equinus and varus along with mid-forefoot adduction and cavus Currently the Ponseti method is the preferred initial treatment for idiopathic clubfoot1
Despite the initial phases remarkable efficacy in correcting clubfeet there remains a notable recurrence rate after Ponseti treatment2
Numerous studies demonstrate a very high success rate during early follow-ups ranging from 92 to 1003
Nonetheless recurrence remains a challenge for orthopedic surgeons A common trigger for recurrence is the dynamic supination of the foot which results from excessive activation of the tibialis anterior muscle during ankle dorsiflexion4
Multiple studies indicate that tibialis anterior tendon transfer TATT is an effective tool for management of clubfoot recurrence particularly dynamic supination5
The widely used technique involves transferring the entire tendon through a drill hole in the lateral cuneiform and anchoring it on the plantar aspect of the foot using a sewing button and felt pad6
While effective this procedure raises the risk of pressure sores due to button placement on the sole7
Split anterior tibialis tendon transfer SPLATT to peroneus brevis is a well-described treatment strategy of varus foot deformities in patients with neuromuscular disorders8
The technique has been reported to achieve successful deformity correction while avoiding skin problems associated with external button placement on the sole of the foot in tendon-to-bone transfers8
The present study aims to assess the outcome of utilizing SPLATT to peroneus brevis procedure in the treatment of recurrent CTEV in comparison to the original total TATT to the lateral cuneiform
Despite the initial phases remarkable efficacy in correcting clubfeet there remains a notable recurrence rate after Ponseti treatment2
Numerous studies demonstrate a very high success rate during early follow-ups ranging from 92 to 1003
Nonetheless recurrence remains a challenge for orthopedic surgeons A common trigger for recurrence is the dynamic supination of the foot which results from excessive activation of the tibialis anterior muscle during ankle dorsiflexion4
Multiple studies indicate that tibialis anterior tendon transfer TATT is an effective tool for management of clubfoot recurrence particularly dynamic supination5
The widely used technique involves transferring the entire tendon through a drill hole in the lateral cuneiform and anchoring it on the plantar aspect of the foot using a sewing button and felt pad6
While effective this procedure raises the risk of pressure sores due to button placement on the sole7
Split anterior tibialis tendon transfer SPLATT to peroneus brevis is a well-described treatment strategy of varus foot deformities in patients with neuromuscular disorders8
The technique has been reported to achieve successful deformity correction while avoiding skin problems associated with external button placement on the sole of the foot in tendon-to-bone transfers8
The present study aims to assess the outcome of utilizing SPLATT to peroneus brevis procedure in the treatment of recurrent CTEV in comparison to the original total TATT to the lateral cuneiform
Detailed Description:
None
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None