The Effect of Weight Bearing on Patient Outcomes Following 1st MTP Joint Fusion

NCT04473196 — Not applicable, Unknown, 92 participants, Nova Scotia Health Authority

ClinicalTrials Daily  ·  Areas  ·  Conditions  ·  Drugs  ·  Sponsors  ·  

Prospective, Randomized Trial to Evaluate the Effect of Weight Bearing on Patient Outcomes Following 1st MTP Joint Fusion

RegistryNCT04473196
StatusUnknown
PhaseNot applicable
Study typeInterventional; randomized, parallel, masking: single, basic science
Enrollment92 (Estimated)
SponsorNova Scotia Health Authority (Other)
ConditionsHallux Valgus, Hallux Rigidus
Interventionsweightbearing (Other)
Datesstart 2020-09-30, primary completion 2025-08-31 (estimated), completion 2026-08-31 (estimated), first posted 2020-07-16, last updated 2024-08-23
Locations1 site in Canada

Related Papers Related Patents Related Grants Related Experts
All trials for Hallux Valgus All trials for Hallux Rigidus All trials of weightbearing

-Summary

randomized-controlled trial looking specifically at the effect of weight bearing on the outcomes of first MTP joint fusions

Expand all sections  ·  Collapse all

+Detailed description

The objective of this prospective, randomized controlled trial is to determine if there are any adverse outcomes associated with immediate weight bearing as compared to non-weight bearing following first MTP joint fusion. The primary outcome measures will look at patient reported outcomes of pain and function. The secondary outcome measures will be the difference in the incidence of non-union, as well as adverse events/complications (malunion, wound complications, hardware complications, infection, stress fracture).

+Arms and interventions

ArmTypeInterventionsDescription
WeightbearingActive comparatorOther: weightbearingImmediate weightbearing after surgery
Non weightbearingActive comparatorOther: weightbearingnonweightbearing x 6 weeks post surgery
  • weightbearing (Other), also known as nonweightbearing: immediate weightbearing

+Outcome measures

Primary outcomes

  • Foot and Ankle Ability Measure (FAAM) [pre op]: Activities of Daily Living (ADL) Scored out of 100\\higher score indicates more function
  • Foot and Ankle Ability Measure (FAAM) [6 months]: Activities of Daily Living (ADL) Scored out of 100\\higher score indicates more function
  • Visual analogue scale(VAS) [pre op]: patient reported outcomes of pain. Scale of 1-10. Higher score indicating more pain
  • Visual analogue scale(VAS) [12 weeks]: patient reported outcomes of pain Scale of 1-10. Higher score indicating more pain

Secondary outcomes

  • Radiographic healing [6 weeks]: Union is defined as new bone formation across the cortex of the fusion site

+Eligibility

Sex: All, ages: 18 Years to any

Inclusion Criteria:

* Age 18 years or great
* Medically fit for surgery
* Patients diagnosed with condition for which a 1st MTP joint fusion is a surgical management option based on clinical examination and radiographs
* Failed non-operative management (orthotics, bracing, Tylenol, NSAIDs, shoe-wear modification)
* Surgery is for an isolated 1st MTP fusion
* Able and willing to comply with follow up schedule and requirements
* Capable of providing informed consent

Exclusion Criteria:

* Age <18 years old
* Surgical booking is for more than just 1st MTP fusion
* Unable to comply with follow up schedule and requirements
* Unable to provide informed consent

+Locations (1)

FacilityCityCountryStatus
Nova Scotia Health AuthorityHalifax, Nova ScotiaCanadaRecruiting

+Publications

  • Rammelt S, Panzner I, Mittlmeier T. Metatarsophalangeal Joint Fusion: Why and How? Foot Ankle Clin. 2015 Sep;20(3):465-77. doi: 10.1016/j.fcl.2015.04.008. Epub 2015 Jun 10. PMID 26320560
  • Wood EV, Walker CR, Hennessy MS. First metatarsophalangeal arthrodesis for hallux valgus. Foot Ankle Clin. 2014 Jun;19(2):245-58. doi: 10.1016/j.fcl.2014.02.006. Epub 2014 Mar 21. PMID 24878413
  • Little JB. First metatarsophalangeal joint arthrodesis in the treatment of hallux valgus. Clin Podiatr Med Surg. 2014 Apr;31(2):281-9. doi: 10.1016/j.cpm.2013.12.009. Epub 2014 Feb 26. PMID 24685193
  • Results publication: Purdie SD, Glazebrook HM, Dissanayake R, Burgesson BN, Morash JG, Glazebrook MA. To Walk or Not? A Prospective, Randomised Controlled Trial to Evaluate the Effect of Weightbearing on Patient Outcomes Following First Metatarsophalangeal Joint Fusion. Foot Ankle Int. 2026 Oct 9:10711007261481828. doi: 10.1177/10711007261481828. Online ahead of print. PMID 42852924

+Investigators