Gait Analysis in Children With Clubfoot Treated With Tibialis Anterior Tendon Transfer

Orthopedic Hospital Vienna Speising

Status: Completed

Conditions: Clubfoot

Treatments: Other: Gait analysis

Study type: Observational

Funder types: Other

Identifiers

NCT03953430

TATT

Details and patient eligibility

About

Patients with clubfoot treated with the Ponseti method and undergoing Tibialis Anterior tendon transfer from a prospective database are evaluated using gait analysis including the Oxford foot model and compared to a group of healthy children.

Full description

Children with dynamic clubfoot recurrence after initial Ponseti treatment who underwent TATT between 2014 and 2017 are considered for this study. Exclusion criteria are neurological disease, split transfer of the tendon, additional bone or joint invasive surgery, and initial treatment abroad.

Gait analysis, including the Oxford foot model, will be conducted, and the kinematic and kinetic data of the lower extremity will be compared with a group of age-matched healthy children. To comprise a control group for the purpose of collecting gait analysis data of healthy children, employees of our hospital are asked to allow their children to participate in this study.

Patients will undergo gait analysis, including video recordings with a Vicon motion capture system (Vicon, Oxford, UK) with kinetic data collected from three AMTI force plates (Advanced Mechanical Technology, Inc., Watertown, MA). Placement of markers will be a combination of Cleveland (lower extremity), PlugInGait (upper body), and Oxford Foot (movement within the foot) models.

Enrollment: 17 patients

Sex: All

Ages: 3 to 12 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Children with unilateral or bilateral idiopathic clubfoot treated with the Ponseti method
• full TATT

Exclusion criteria

• clubfoot associated with syndromes or neurological diseases
• initial Treatment elsewhere with more than 3 casts
• prior joint invasive or bony surgery
• split transfer of the tibialis anterior tendon

Trial design

17 participants in 2 patient groups

study group

Description:

Patients with clubfoot recurrence undergoing Tibialis Anterior tendon transfer with a minimum age of three years from a prospective, consecutive database of patients with clubfoot treated with the Ponseti method.

Treatment:

Other: Gait analysis

control group

Description:

healthy children of employees of our hospital

Treatment:

Other: Gait analysis