No registrations found.
ID
Source
Brief title
Health condition
fixed hamertoe
surgery
k-wire
correction
Sponsors and support
Intervention
Outcome measures
Primary outcome
AOFAS lesser toe metatarsophalangeal scale one year after surgery.
Secondary outcome
AOFAS lesser toe metatarsophalangeal scale score after 6 weeks.
Satisfaction (VAS)
Complications between the two techniques:
- infection (combination of new or increasing pain, erythema, local warmth and swelling and/or purulent discharge)
- deep venous thrombosis of the ipsilateral leg (diagnosed by ultrasound)
- vascular problems (necrosis of the skin of the toe 2,4,6 weeks or 1 year after the operation)
Toe position one year after surgery (Part of the AOFAS lesser toe metatarsophalangeal scale)
Requirement for revision surgery e.g as indicated by infection or malalagniment.
Study objective
It is hypothesized that both surgical techniques do not make more than 10 points difference in the American Orthopaedic Foot and Ankle Society (AOFAS) lesser toe metatarsophalangeal scale, one year after surgery.
Study design
baseline (preoperative)
postoperative:
6 weeks, and 1 year
Intervention
Dorsal incision over the deformed PIP joint, cleavage of the extensor tendon, opening and release of the joint capsule, resection of the distal condyles of the proximal phalanx, resection of the sharp edges of the bone, wound irrigation with NaCl, verification of position, randomization for group A or B.
A. Placement of the K-wire inside out, outside in through the distal, mid and proximal phalanx. Wound closure with Donati sutures of monocryl.
B. Wound closure with Donati sutures of monocryl.
Continuous pressure bandage for 7 days, and weight bearing as tolerated in a special shoe for 4 weeks.
Postadres: Postbus 90052, 5600 PD Eindhoven
J.G.E. Hendriks
Ds. Th. Fliednerstraat 1
Eindhoven 5631 BM
The Netherlands
h.hendriks@mmc.nl
Postadres: Postbus 90052, 5600 PD Eindhoven
J.G.E. Hendriks
Ds. Th. Fliednerstraat 1
Eindhoven 5631 BM
The Netherlands
h.hendriks@mmc.nl
Inclusion criteria
Patients older than 18 years, diagnosed with hammer toe 2nd, 3rd, or 4th toe.
Exclusion criteria
Other current foot problem at the same foot.
Other foot surgery should be performed in the same session.
Patients with invalidating rheumatoid arthritis.
Patients with insulin depending diabetes mellitus.
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 | NL4461 |
| NTR-old | NTR4584 |
| Other | METC Maxima MC : 1401 |