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

Guangzhou Women and Children's Medical Center

Status: Unknown

Conditions: Recurrent Clubfoot

Treatments: Procedure: The tendon release of musculi tibialis posterior; Procedure: Anterior tibial tendon transfer(TATT); Procedure: Fascial release; Procedure: Achilles tendon lengthing

Study type: Interventional

Funder types: Other

Identifiers

NCT04212663

GuangzhouWCMC-002

Details and patient eligibility

About

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.

Enrollment: 80 estimated patients

Sex: All

Ages: 4 to 6 years old

Volunteers: No Healthy Volunteers

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

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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80 participants in 2 patient groups, including a placebo group

control

Placebo Comparator group

Description:

receive the procure of Anterior tibial tendon transfer(TATT) + Achilles tendon lengthing + fascial release

Treatment:

Procedure: Fascial release

Procedure: Achilles tendon lengthing

Procedure: Anterior tibial tendon transfer(TATT)

experiment

Experimental group

Description:

receive the procure of Anterior tibial tendon transfer(TATT) + Achilles tendon lengthing + fascial release+ The tendon release of musculi tibialis posterior

Treatment:

Procedure: Fascial release

Procedure: Achilles tendon lengthing

Procedure: Anterior tibial tendon transfer(TATT)

Procedure: The tendon release of musculi tibialis posterior