MTP-soft tissue- release has a better outcome in correcting reumatoid MTP- deformities, compared to the Hoffman procedure
ID
Bron
Verkorte titel
Aandoening
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
Ondersteuning
St Maartensclinic, Nijmegen, The Netherlands
Onderzoeksproduct en/of interventie
Uitkomstmaten
Primaire uitkomstmaten
AOFAS-score (validated foot function score)
Achtergrond van het onderzoek
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.
Doel van het onderzoek
MTP-soft tissue- release has a better outcome in correcting reumatoid MTP- deformities, compared to the Hoffman procedure
Onderzoeksopzet
- Preoperative
- 2 weeks postoperative
- 6 weeks postoperative
- 3 months postoperative
- 1 and 5 years postoperative
Onderzoeksproduct en/of interventie
Two surgical procedures regarding the metatarsophalangeal joints in reumatic foot disorders:
1. Hoffman procedure
2. MTP- soft tissue release
Publiek
Da Costastraat 57-II
Amsterdam 1053 ZE
The Netherlands
+31 (0)6 18515625
Wetenschappelijk
Da Costastraat 57-II
Amsterdam 1053 ZE
The Netherlands
+31 (0)6 18515625
Belangrijkste voorwaarden om deel te mogen nemen (Inclusiecriteria)
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.
Belangrijkste redenen om niet deel te kunnen nemen (Exclusiecriteria)
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
Opzet
Deelname
Opgevolgd door onderstaande (mogelijk meer actuele) registratie
Geen registraties gevonden.
Andere (mogelijk minder actuele) registraties in dit register
Geen registraties gevonden.
In overige registers
| Register | ID |
|---|---|
| NTR-new | NL1459 |
| NTR-old | NTR1520 |
| Ander register | .0220 : 07 |
| ISRCTN | ISRCTN wordt niet meer aangevraagd |
Samenvatting resultaten
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.