No registrations found.
ID
Source
Health condition
Hallux Rigidus, First Metatarsophalangeal joint, Osteoarthritis
Sponsors and support
Intervention
Outcome measures
Primary outcome
Range of Motion (ROM) of the hallux-forefoot segment, forefoot-hindfoot segment and hindfoot-tibia segment
Secondary outcome
- Spatiotemporal parameters (gait velocity, stride length, stride width, step length, step time, cadence, stance time)
- Plantar Pressure (Peak Pressure & Pressure Time Integral)
- Clinical Functioning/Outcome (AOFAS-HMI, VAS-pain, MOXFQ, FFI, SF-36)
Background summary
Despite the extensive literature on the surgical treatment of HR, no studies compared arthrodesis, hemiprosthesis and prosthesis as treatment options from an biomechanical point of view. The goal of this study is to find some clues in the gait pattern of patients with HR, which can help us in the future to predict which treatment option results in the best patient reported outcome in a patient-specific manner.
Study objective
We hypothesize that the range of motion of the hallux is limited during gait in patients with hallux rigidus (HR). In addition, we hypothesize that patients with HR will compensate this loss of motion of the hallux by increasing joint motion in the forefoot and hindfoot, in order to facilitate movement. Concerning plantar pressure, we expect a decreased pressure beneath the hallux with increased plantar pressure beneath the lesser metatarsals due to pain.
Study design
T1= prior to surgery
T2= one year after surgery
Intervention
- MTP1 arthrodesis
- MTP1 hemiprosthesis
- MTP1 prosthesis
P. Debyelaan 25, P.O. Box 5800
Maastricht 6202 AZ
The Netherlands
jasper.stevens@mumc.nl
P. Debyelaan 25, P.O. Box 5800
Maastricht 6202 AZ
The Netherlands
jasper.stevens@mumc.nl
Inclusion criteria
- Degenerative Hallux Rigidus, radiologically confirmed
- Failed conservative traject
- Able to walk more than 100 meters barefoot
Exclusion criteria
- Diabetes Mellitus
- Reumatoid Arthritis
- Gout
- Total Knee Prosthesis
- Total Hip Prosthesis
- Arthrodesis of another joint in the foot of interest
- Neurological condition resulting in an altered gait pattern
- Fractur(s) of bone(s) in the lower extremities resulting in an altered gait pattern
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| NTR-new | NL6556 |
| NTR-old | NTR6770 |
| Other | 17-N-14 : METC 14-4-080 |