Efficacy of Surgery for Idiopathic Toe Walking
NCT06610591 · Status: RECRUITING · Type: OBSERVATIONAL · Enrollment: 20
Last updated 2024-09-24
Summary
BACKGROUND:
For children who walk on their tip toes, surgery is often done to lengthen their Achilles Tendon. However, there is little research to help children's surgeons choose which children with idiopathic toe walking should have surgery.
METHODS:
This research study will investigate how effective surgery to lengthen the Achilles Tendon is for children with idiopathic toe walking. It will explore if the children\'s quality of life, endurance, strength, range of movement or walking pattern improves after they have had surgery.
This study is a pilot study with 20 participants. This means the results will be used to decide if a larger trial is needed.
Conditions
- Idiopathic Toe-walking
Interventions
- PROCEDURE
-
Achilles Lengthening Surgery
The procedure is undertaken under general anaesthetic and involves horizontal hemi-section of the Achilles tendon via small 'stab' incisions at three levels to effect a lengthening of the tendon. The patient is then placed in a walking cast for four weeks thereafter. This surgery is usual care for most children with symptomatic ITW with plantarflexion contractures who have failed non-operative management.
Sponsors & Collaborators
-
British Society for Children's Orthopaedic Surgery
collaborator UNKNOWN -
University of Oxford
lead OTHER
Principal Investigators
-
Alpesh Kothari, MA, BM, BCh, AFHEA, MSc, DPhil · University of Oxford
-
Yael Gelfer, BSc, MD, PhD, FRCS · St George's University Hospitals NHS Foundation Trust
-
Julie Stebbins, DPhil SRCS CSci · University of Oxford
Eligibility
- Min Age
- 8 Years
- Max Age
- 16 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2024-09-09
- Primary Completion
- 2026-09-01
- Completion
- 2026-09-01
Countries
- United Kingdom
Study Locations
More Related Trials
-
The Effect of Targeting the Plantaris Muscle-tendon in Surgical Correction of Ankle Equinus in Children
NCT07090057 ·Status: RECRUITING ·Phase: NA
-
Achilles Tendon Lengthening in Patients With Diabetes to Prevent Foot Ulcers
NCT00006426 ·Status: COMPLETED ·Phase: PHASE1
-
Elastographic Assessment of Gastrocnemius Muscle Structure in Children With Idiopathic Toe Walking
NCT07163520 ·Status: COMPLETED
-
Neurophysiology-based Intervention of Foot Dysfunction in Sportive Children
NCT05902091 ·Status: COMPLETED ·Phase: NA
-
Akin Osteotomy With or Without Fixation
NCT02984462 ·Status: COMPLETED ·Phase: NA
-
A Study on the Treatment of Recurrent Clubfoot With the Tendon Release of Musculi Tibialis Posterior
NCT04212663 ·Status: UNKNOWN ·Phase: NA
-
Arthroscopic Assisted Lateral Soft Tissue Release for Hallux Valgus
NCT04088214 ·Status: COMPLETED ·Phase: NA
-
Return To Sport Activities in Patients Surgically Treated For Flat Foot in Paeditric Age
NCT04269421 ·Status: COMPLETED
-
Comparison of the Effects of Advanced Exercise Treatment Performed Under the Supervision of a Physiotherapist and Provided as a Home Program on Adduction Angle, Pain, Functional Status, Quality of Life and Kinesophobia in Individuals With Hallux Valgus
NCT05000398 ·Status: UNKNOWN ·Phase: NA
-
Managing Achilles Pain II
NCT05105269 ·Status: UNKNOWN
-
Arthroereisis Versus Lateral Column Lengthening in the Treatment of Planovalgus Feet
NCT02055495 ·Status: COMPLETED
-
Gait Analysis in Idiopathic Clubfoot Patients Treated by the Ponseti Method
NCT05572411 ·Status: COMPLETED
-
Proximal Metatarsal Osteotomy in Correction of Hallux Valgus
NCT06584487 ·Status: NOT_YET_RECRUITING
-
Effectiveness of Custom-made Foot Orthoses vs Heel Lifts in Children With Calcaneal Apophysitis
NCT03960086 ·Status: COMPLETED ·Phase: NA
-
Plantar Plate Repair for Treatment of Floating Toe: Must we Associate it to Weil Osteotomy?
NCT05625282 ·Status: RECRUITING ·Phase: NA
-
Toe Walker Gait Trial
NCT01208142 ·Status: TERMINATED ·Phase: NA
-
Tourniquet Use in Hallux Valgus Surgery
NCT06680518 ·Status: RECRUITING ·Phase: NA
-
Comparison of Ponseti Method Versus Older Treatments in Talipes Equinovarus Through Gait Analysis and Clinical Results
NCT03580746 ·Status: WITHDRAWN
-
Evaluation of Postural Control in Children With Idiopathic Toe Walking
NCT04200924 ·Status: COMPLETED
-
Fourth Generation Percutaneous Transverse Osteotomies for Hallux Valgus
NCT06625229 ·Status: COMPLETED
-
The Toe-spread-out Exercise in Patients With Hallux Valgus and Without the Deformity
NCT03423498 ·Status: COMPLETED ·Phase: NA
-
Transarticular Lateral Release Versus Percutaneous Lateral Release for Hallux Valgus
NCT04614675 ·Status: UNKNOWN ·Phase: NA
-
Foot Orthoses & Hallux Limitus in School-age Children
NCT05511532 ·Status: UNKNOWN ·Phase: NA
-
Reeducation of Chronic Achilles Tendinopathy by Wearing Shoes Inclined Versus Reeducation by Kinesitherapy
NCT02307708 ·Status: TERMINATED ·Phase: NA
-
Management of Pes Planovalgus With Talocalcaneal Coalition ,Osteotomy vs Arthroereisis
NCT05170698 ·Status: COMPLETED ·Phase: NA