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.
ID
Bron
Verkorte titel
Aandoening
fixed hamertoe
surgery
k-wire
correction
Ondersteuning
Onderzoeksproduct en/of interventie
Uitkomstmaten
Primaire uitkomstmaten
AOFAS lesser toe metatarsophalangeal scale one year after surgery.
Doel van het onderzoek
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.
Onderzoeksopzet
baseline (preoperative)
postoperative:
6 weeks, and 1 year
Onderzoeksproduct en/of interventie
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.
Publiek
Postadres: Postbus 90052, 5600 PD Eindhoven
J.G.E. Hendriks
Ds. Th. Fliednerstraat 1
Eindhoven 5631 BM
The Netherlands
h.hendriks@mmc.nl
Wetenschappelijk
Postadres: Postbus 90052, 5600 PD Eindhoven
J.G.E. Hendriks
Ds. Th. Fliednerstraat 1
Eindhoven 5631 BM
The Netherlands
h.hendriks@mmc.nl
Belangrijkste voorwaarden om deel te mogen nemen (Inclusiecriteria)
Patients older than 18 years, diagnosed with hammer toe 2nd, 3rd, or 4th toe.
Belangrijkste redenen om niet deel te kunnen nemen (Exclusiecriteria)
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.
Opzet
Deelname
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In overige registers
| Register | ID |
|---|---|
| NTR-new | NL4461 |
| NTR-old | NTR4584 |
| Ander register | METC Maxima MC : 1401 |