Management of Pes Planovalgus With Talocalcaneal Coalition ,Osteotomy vs Arthroereisis

Ain Shams University

Status: Completed

Conditions: Pes Planus; Talocalcaneal Bar

Treatments: Procedure: Coaltion excision and arthroereisis; Procedure: Coalition excision and corrective osteotomies

Study type: Interventional

Funder types: Other

Identifiers

NCT05170698

0000017585

Details and patient eligibility

About

the investigators compare the corrective osteotomies vs arthroereisis in management of talcalcaneal coalition in adolescents as regard the outcome to provide the best intervention for the patient

Full description

In talocalcaneal coalition management is controversial so in this study the invstigators try to compare techniques other than coalition excision only or fusion only by using two types of intervention including first coalition excision and multiple corrective osteotomies according to deformity as evans ,medial displacement calcaneal osteotomy and cotton osteotomy vs coalition excision and arthroereisis the investigators compare functional and radiological outcomes and complication to provide the best management for these patients .

Enrollment: 30 patients

Sex: All

Ages: 10 to 20 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• flat foot due to talocalcaneal coalition Symptomatic patient Resectable coalition Age between 10 and 20

Exclusion criteria

• flat foot of other etiology Age more than 20 Concurrent knee deformity unless corrected before surgery Extensive coalition more than 50 %of posterior facet

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

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30 participants in 2 patient groups

coalition excision and arthroereisis

Experimental group

Description:

Talocalcaneal bar excision is done and then arthroereisis implant is applied in subtalar joint to correct rigid pes planovalgus in adolescent

Treatment:

Procedure: Coaltion excision and arthroereisis

coalition excision and corrective osteotomies

Experimental group

Description:

Talocalcaneal bar excision is done and then according to degree of deformity either medial displacement calcaneal osteotomy or evans or cotton osteotomy is done or combined together to correct rigid pes planovalgus in adolescents

Treatment:

Procedure: Coalition excision and corrective osteotomies