A Study on the Treatment of Recurrent Clubfoot With the Tendon Release of Musculi Tibialis Posterior

Guangzhou Women and Children's Medical Center80 enrolled

Overview

The musculi tibialis posterior can adduct the foot, so releasing the tedon of the muscle can help to correct the deformity of the forefoot adduction.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Recurrent Clubfoot

Interventions

The tendon release of musculi tibialis posteriorPROCEDURE

To release the tendon of musculi tibialis posterior.

Anterior tibial tendon transfer(TATT)PROCEDURE

To transfer the the tendon of anterior tibial from the navicular to the third cuneiform.

Achilles tendon lengthingPROCEDURE

To lengthen the achilles tendon by using two incisions.

Eligibility

Sex: ALLMin age: 4 YearsMax age: 6 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Clinical diagnosis of recurrent idiopathic clubfoot * The initial treatment was treated with the ponseti method * Dynamic supination * The max-dorsiflexion of angle \<5° * The fore foot is adduct * The sole is cavus Exclusion Criteria: * Symptomatic recurrent clubfoot * Tarsal fusion * Rigid recurrent clubfoot

Outcomes

Primary Outcomes

The adduction of foot.

Measure the angle of foot adduction

Time frame: Six months after the operation

The adduction of foot.

Measure the angle of foot adduction

Time frame: 1 year after operation

Secondary Outcomes

The dorsiflextion of ankle.

Measure the angle of ankle dorsiflextion

Time frame: Six months after the operation

The dorsiflextion of ankle.

Measure the angle of ankle dorsiflextion

Time frame: 1 year after operation

Data from ClinicalTrials.gov

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