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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
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 .
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| coalition excision and arthroereisis | Experimental | Talocalcaneal bar excision is done and then arthroereisis implant is applied in subtalar joint to correct rigid pes planovalgus in adolescent |
|
| coalition excision and corrective osteotomies | Experimental | 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 |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Coaltion excision and arthroereisis | Procedure | Both done to treat rigid flat foot with talocalcaneal coalition. Talocalcaneal coalition excision and management of rigid pes planovalgus in adolescent |
| Measure | Description | Time Frame |
|---|---|---|
| Degree of deformity valgus | By goniometer | preoperative |
| Degree of deformity valgus | By goniometer | three months |
| Degree of deformity valgus | By goniometer | six months |
| Degree of deformity valgus | By goniometer | one year postoperative |
| Degree of deformity valgus | By goniometer | two year postoperative |
| Subtalar range of motion | By geniometer for inversion and eversion | preoperative |
| Subtalar range of motion | By geniometer for inversion and eversion | three months |
| Subtalar range of motion | By geniometer for inversion and eversion | six months |
| Subtalar range of motion | By geniometer for inversion and eversion |
| Measure | Description | Time Frame |
|---|---|---|
| functional outcome | By foot ankle ability measurement score | preoperative |
| Patient satisfaction | By foot and ankle disability score | preoperative |
| Measure | Description | Time Frame |
|---|---|---|
| AOFAS | he American Orthopaedic Foot & Ankle Society (AOFAS) score up to 100 the higher the score the better function | preoperative |
| AOFAS | he American Orthopaedic Foot & Ankle Society (AOFAS) score up to 100 the higher the score the better function |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| ayman m howeidy, professor | Ain Shams University | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ain shams university | Cairo | Egypt |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 25248861 | Background | El Shazly O, Mokhtar M, Abdelatif N, Hegazy M, El Hilaly R, El Zohairy A, Tawfik E. Coalition resection and medial displacement calcaneal osteotomy for treatment of symptomatic talocalcaneal coalition: functional and clinical outcome. Int Orthop. 2014 Dec;38(12):2513-7. doi: 10.1007/s00264-014-2535-3. Epub 2014 Sep 25. | |
| 24909804 |
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| ID | Term |
|---|---|
| D005413 | Flatfoot |
| ID | Term |
|---|---|
| D000070558 | Talipes |
| D005531 | Foot Deformities, Acquired |
| D005530 | Foot Deformities |
| D009140 | Musculoskeletal Diseases |
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2 groups one with the first intervention arthroereisis and bar excision the second with bar excision and osteotomies it may be one or multiple
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|
| Coalition excision and corrective osteotomies | Procedure | Both done to treat rigid flat foot with talocalcaneal coalition. Talocalcaneal coalition excision and management of rigid pes planovalgus in adolescent |
|
| one year postoperative |
| Subtalar range of motion | By geniometer for inversion and eversion | two year postoperative |
| functional outcome | By foot ankle ability measurement score | three months |
| Patient satisfaction | By foot and ankle disability score | three months |
| functional outcome | By foot ankle ability measurement score | six months |
| Patient satisfaction | By foot and ankle disability score | six months |
| functional outcome | By foot ankle ability measurement score | one year |
| functional outcome | By foot ankle ability measurement score | two year |
| Patient satisfaction | By foot and ankle disability score | one year |
| Patient satisfaction | By foot and ankle disability score | two year |
| three months |
| AOFAS | he American Orthopaedic Foot & Ankle Society (AOFAS) score up to 100 the higher the score the better function | six months |
| AOFAS | he American Orthopaedic Foot & Ankle Society (AOFAS) score up to 100 the higher the score the better function | one year |
| AOFAS | he American Orthopaedic Foot & Ankle Society (AOFAS) score up to 100 the higher the score the better function | two year |
| Siddiqui NA, Lamm BM. Digital planning for foot and ankle deformity correction: Evans osteotomy. J Foot Ankle Surg. 2014 Nov-Dec;53(6):700-5. doi: 10.1053/j.jfas.2014.04.011. Epub 2014 Jun 6. |
| D005532 |
| Foot Deformities, Congenital |
| D038061 | Lower Extremity Deformities, Congenital |
| D017880 | Limb Deformities, Congenital |
| D009139 | Musculoskeletal Abnormalities |
| D000013 | Congenital Abnormalities |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |