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| Name | Class |
|---|---|
| Assistance Publique - Hôpitaux de Paris | OTHER |
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People with neuromotor disability (i.e. following an inborn or acquired spinal cord, cerebral or peripheral neurological lesion) are at risk of neuro-orthopaedic disorders. Microinvasive percutaneous needle tenotomy is a frequent use alternative to open surgery to treat limb deformities. A lower extremity traction is performed in our unit during 2 to 7 days after surgery of the knee flexor muscles.
The aim of this study is to describe the efficiency of lower extremity traction on the popliteal angle after percutaneous needle tenotomy of the knee flexor muscles.
This is a prospective, monocentric, cohort study of neurological disabled inpatients subjects treated in the perioperative disability unit (UPOH) of our university hospital for limb deformities by percutaneous needle tenotomy of the knee flexor muscles.
All eligible inpatient subjects with neuromotor disability and admitted for the treatment of limb deformities by percutaneous needle tenotomy of the knee flexor muscles will be consecutively included.
Data will be collected from the patients' medical records, in particular data related to their clinical, radiological, biological, and physiological examinations.
This is a routine care study; no procedures are added for research purposes. It is an ancillary study to the NO-AGING study.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Subjects admitted for percutaneous needle tenotomy of the knee flexor muscles | Postoperative lower extremity traction. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Traction | Procedure | Postoperative lower extremity traction |
|
| Measure | Description | Time Frame |
|---|---|---|
| Popliteal angle at the end of the traction | Difference in popliteal angle between the beginning and end of traction, evaluated with the Kinovea angle measurement tool. In case of bilateral traction, the average of the differences of each limb will be considered. | Daily, during the traction (up to 7 days). |
| Measure | Description | Time Frame |
|---|---|---|
| Success of surgery | Evaluated by the Goal Assessment Scale (GAS). Minimum and maximum values : -2 (worse outcome) / +2 (better outcome) | At 30 days after surgery |
| Popliteal angle | Evaluated by goniometry or Kinovea |
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Inclusion Criteria:
Exclusion Criteria:
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Subjects with neuromotor disability and admitted for the treatment of limb deformities by percutaneous needle tenotomy of the knee flexor muscles.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| François Genêt, MD-PhD | Contact | + 33 1 47 10 70 82 | françois.genet@aphp.fr | |
| Vincent T. Carpentier, MD-MSc | Contact | + 33 1 47 10 70 82 | vincent.carpentier@ispc-synergies.org |
| Name | Affiliation | Role |
|---|---|---|
| François Genêt, MD-PhD | Department of Physical Medicine and Rehabilitation, Raymond Poincaré Hospital, AP-HP, 92380 Garches, France | Study Chair |
| Vincent T. Carpentier, MD-MSc | Department of Physical Medicine and Rehabilitation, Raymond Poincaré Hospital, AP-HP, 92380 Garches, France |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of Physical Medicine and Rehabilitation, Raymond Poincaré Hospital, AP-HP | Recruiting | Garches | 92380 | France |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 26624990 | Background | Chesnel C, Genet F, Almangour W, Denormandie P, Parratte B, Schnitzler A. Effectiveness and Complications of Percutaneous Needle Tenotomy with a Large Needle for Muscle Contractures: A Cadaver Study. PLoS One. 2015 Dec 1;10(12):e0143495. doi: 10.1371/journal.pone.0143495. eCollection 2015. | |
| 29112966 | Background |
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| ID | Term |
|---|---|
| D014143 | Traction |
| ID | Term |
|---|---|
| D019637 | Orthopedic Procedures |
| D013514 | Surgical Procedures, Operative |
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| Daily, during the traction (up to 7 days). |
| Knee angle | Evaluated by goniometry or Kinovea | Daily, during the traction (up to 7 days). |
| Pain | Numeric scale or Algoplus according to disability. Minimum and maximum values for the Numeric scale : 0 (no pain) / 10 (worst pain). Minimum and maximum values for the Algoplus scale : 0 (no pain) / 5 (worst pain). | Daily, during the traction (up to 7 days). |
| Skin condition | Presence of erythema, phlyctens or superficial pressure sores | Daily, during the traction (up to 7 days). |
| Study Director |
| Schnitzler A, Genet F, Diebold A, Mailhan L, Jourdan C, Denormandie P. Lengthening of knee flexor muscles by percutaneous needle tenotomy: Description of the technique and preliminary results. PLoS One. 2017 Nov 7;12(11):e0182062. doi: 10.1371/journal.pone.0182062. eCollection 2017. |
| 35843500 | Background | Angioni F, Salga M, Denormandie P, Genet F, Haigh O, David R, Gatin L, Schnitzler A. Microinvasive percutaneous needle tenotomy, An alternative to open surgery to treat neurological foot deformities. Ann Phys Rehabil Med. 2023 Mar;66(2):101690. doi: 10.1016/j.rehab.2022.101690. Epub 2022 Nov 30. No abstract available. |