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Duration of Brace Wear in Clubfoot Treatment - A Prospective Randomized Trial (FAB24)

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The Washington University

Status

Completed

Conditions

Isolated Clubfoot

Treatments

Device: Foot Abduction Brace (FAB)

Study type

Interventional

Funder types

Other

Identifiers

NCT01551264
201110158

Details and patient eligibility

About

The goal of this multi-center, randomized, controlled trial is to evaluate the effectiveness of a 2 year versus 4 year bracing protocol in preventing isolated clubfoot recurrence within the first year post-treatment, and to evaluate factors associated with recurrence in isolated clubfoot.

Full description

The study is based on the hypothesis that prolonged bracing will reduce clubfoot recurrence. In addition to bracing length, the study will determine if other factors in addition to duration of brace wear are associated with recurrence.

Enrollment

139 patients

Sex

All

Ages

Under 1 year old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Subject < 1 year of age when treatment initiated at local site
  • Confirmed diagnosis of Isolated Clubfoot
  • At least one foot demonstrates fixation of the foot in equinus, forefoot adduction, cavus and hindfoot varus
  • Deformity was present at birth

Exclusion criteria

  • Previous foot abduction bracing
  • Previous surgical correction (excluding Tenotomy)
  • Dysmorphic features, additional anomalies (i.e. congenital heart disease, hypospadias, a genetic syndrome), or developmental delay
  • Neurologic cause for clubfoot (i.e. myelomeningocele or sacral agenesis)

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

139 participants in 2 patient groups

4-Year Bracing Arm
Other group
Description:
This group has been randomized to 4 years of bracing after correction of clubfoot using the Ponseti Method.
Treatment:
Device: Foot Abduction Brace (FAB)
2-Year Bracing Arm
Other group
Description:
This group has been randomized to 2 years of bracing after correction of clubfoot using the Ponseti Method.
Treatment:
Device: Foot Abduction Brace (FAB)

Trial documents
1

Trial contacts and locations

7

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Data sourced from clinicaltrials.gov

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