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Efficacy of Surgery for Idiopathic Toe Walking
Sponsor: University of Oxford
Summary
BACKGROUND: For children who walk on their tip toes, surgery is often done to lengthen their Achilles Tendon. However, there is little research to help children's surgeons choose which children with idiopathic toe walking should have surgery. METHODS: This research study will investigate how effective surgery to lengthen the Achilles Tendon is for children with idiopathic toe walking. It will explore if the children\'s quality of life, endurance, strength, range of movement or walking pattern improves after they have had surgery. This study is a pilot study with 20 participants. This means the results will be used to decide if a larger trial is needed.
Official title: Evaluating the Efficacy of Surgical Intervention for Idiopathic Toe Walking: A Prospective Cohort Pilot Study
Key Details
Gender
All
Age Range
8 Years - 16 Years
Study Type
OBSERVATIONAL
Enrollment
20
Start Date
2024-09-09
Completion Date
2026-09-01
Last Updated
2024-09-24
Healthy Volunteers
No
Conditions
Interventions
Achilles Lengthening Surgery
The procedure is undertaken under general anaesthetic and involves horizontal hemi-section of the Achilles tendon via small 'stab' incisions at three levels to effect a lengthening of the tendon. The patient is then placed in a walking cast for four weeks thereafter. This surgery is usual care for most children with symptomatic ITW with plantarflexion contractures who have failed non-operative management.
Locations (2)
St George's University Hospitals NHS Foundation Trust
Tooting, London, United Kingdom
Oxford University Hospitals NHS Foundation Trust
Oxford, Oxfordshire, United Kingdom