No registrations found.
ID
Source
Brief title
Health condition
Metatarsophalangeal (MTP) joint deformities
Reumatoid foot deformities
Hoffman procedure
MTP soft tissue- release
Dutch:
Metatarsophalangeaal (MTP) gewrichtsafwijkingen
Reumavoet-afwijkingen
Hoffman procedure
MTP soft tissue- release
Sponsors and support
St Maartensclinic, Nijmegen, The Netherlands
Intervention
Outcome measures
Primary outcome
AOFAS-score (validated foot function score)
Secondary outcome
- Foot function index
- SF-36
- Complications
- VAS pain score
- Mobility score
- X-ray of foot
Background summary
The goal of this RCT is identifying the best surgical method in reumatoid forefoot deformities, comparing the Hoffman procedure and MTP soft tissue- release. It is a multi centre study, involving 5 hospitals, with a follow up of 5 years.
Study objective
MTP-soft tissue- release has a better outcome in correcting reumatoid MTP- deformities, compared to the Hoffman procedure
Study design
- Preoperative
- 2 weeks postoperative
- 6 weeks postoperative
- 3 months postoperative
- 1 and 5 years postoperative
Intervention
Two surgical procedures regarding the metatarsophalangeal joints in reumatic foot disorders:
1. Hoffman procedure
2. MTP- soft tissue release
Da Costastraat 57-II
Amsterdam 1053 ZE
The Netherlands
+31 (0)6 18515625
Da Costastraat 57-II
Amsterdam 1053 ZE
The Netherlands
+31 (0)6 18515625
Inclusion criteria
Every patient suffering reumatoid arthritis, between 20 and 85 years old, with symptomatic MTP- deformities, as defined, with an indication for surgical intervention, not responding on conservative treatment during at least 6 months.
Exclusion criteria
1. Previous surigical intervention of toes
2. Infected bursae/ clavi
3. Active reumatoid arthritis
4. Simultaneous foot surgery; except for toe surgery
5. Specific comorbidity: insufficienty of arterial system, complex regional pain syndrome, diabetes mellitus, ongoing infection
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 | NL1459 |
| NTR-old | NTR1520 |
| Other | .0220 : 07 |
| ISRCTN | ISRCTN wordt niet meer aangevraagd |
Summary results
Schrier JC, Louwerens JW, Verheyen CC.
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- The definitions of lesser toe deformities in literature. JAPMA, ahead of publication.
Schrier JC, Louwerens JW, Verheyen CC.