Timing of Weight Bearing After Hallux Valgus Surgery

North District Hospital

Status: Completed

Conditions: Hallux Valgus and Bunion

Treatments: Other: Accelerated Rehabilitation plan

Study type: Interventional

Funder types: Other

Identifiers

NCT03340415

HVrehab

Details and patient eligibility

About

Investigate the optimal timing for weight bearing after Hallux Valgus surgery. Hypothesis: Early weight bearing does not affect outcome after the Endoscopic Distal Soft Tissue Procedure for Hallux Valgus Correction.

Full description

Introduction:

• Rehabilitation plans after hallux valgus/bunion surgery is varied
• From a patient's perspective, full weight bearing is paramount for quality of life and return to work/study
• No high-level study showing the optimal time to resume full weight bearing available

Hypothesis:

Early weight bearing (at 2 weeks post-op) does not affect outcome after the Endoscopic Distal Soft Tissue Procedure for Hallux Valgus correction

Trial Design:

• Parallel group
• Random allocation
• Operating Surgeon blind to randomisation

Study Setting:

• General Regional Hospital
• Single Centre

Enrollment: 53 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• All patients undergoing the EDSTP recruited

Exclusion criteria

• Cases requiring additional procedures (eg 2nd toe correction)
• Mental incapacitation
• Physical disability hindering rehabilitation (eg CVA, neurological disorder)

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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53 participants in 2 patient groups

Control Rehab

No Intervention group

Description:

Follow existing rehabilitation protocol of Non-weight bearing walking for 6 weeks followed by heel walking for 6 weeks; then the resumption of normal full weight-bearing walking in normal shoes at 12 weeks post-operation

Accelerated Rehab

Experimental group

Description:

Accelerated rehabilitation protocol of non-weight bearing walking for 2 weeks followed by heel walking for 10 weeks; then the resumption of normal full weight-bearing walking in normal shoes at 12 weeks post-operation

Treatment:

Other: Accelerated Rehabilitation plan