Hallux ValgusNCT05527197
Patient Reported Function Following Combined First MTP and First TMT Arthrodesis.
A study testing Lapiplasty in people with Hallux Valgus, run by Midwest Bunion Center, LLC at 1 site in United States.
Trial summary
The goal of the study is to gather sufficient patient data to assess real world postoperative function after a first metatarsophalangeal (MTP) joint arthrodesis done in conjunction with first tarsometatarsal arthrodesis (TMT) (double fusion). Read more about this study
- Who is it for?
- Ages 18 to 80 yearsHealthy volunteers can take part
- Conditions the study is for
- Hallux Valgus
- What is being tested?
- Lapiplasty
- Type of treatment
- Medical device
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 31 participants
- Where
- 1 siteUnited States
- Study dates
- 29 Mar 2022to 30 Aug 2023
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 80 years
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- Patients with surgeon identified indications for double joint arthrodesis
- Previous double joint arthrodesis procedure (Lapiplasty® Procedure) between 2017-2021
- Procedure completed at least 12 months from the onset of the study
- Early weight-bearing protocol (< 3 weeks)
- Patients between 18 and 80 years of age, inclusive at the time of the procedure
- Clinical and radiographic follow up available at least 6 months post double joint arthrodesis procedure
- Willing to answer the Post-Operative Functional and Satisfaction Questionnaire via phone call
Who cannot join
- Diabetes with neuropathy
- Presence of previous infection of operative foot
- Documented neuropathy of any cause
- Concomitant hindfoot or ankle procedures except tendon procedures or Gastrocnemius recession
Trial locations and contacts
1 site in 1 country.
United States1 site
Foot and Ankle Center of Iowa
Des Moines, Iowa, 50023
About this study
Official title: What do Patients Report Regarding Their Real-world Function Following Combined First MTP and First TMT Arthrodesis?
The goal of the study is to gather sufficient patient data to assess real world postoperative function after a first metatarsophalangeal (MTP) joint arthrodesis done in conjunction with first tarsometatarsal arthrodesis (TMT) (double fusion). Many studies have demonstrated the success of a first MTP joint arthrodesis in eliminating pain and reducing the intermetatarsal angle. Very little research has been published to assess the outcomes of double arthrodesis. Limited research has specifically assessed patients' everyday function and gait following MTP arthrodesis and no studies are available to assess real world function following double arthrodesis. More data that includes patient reported function during activities of daily living is needed to understand the benefits and draw backs of combined first MTP/TMT joint arthrodesis used to treat and correct first ray deformity.
Read the detailed description
- Retrospective clinical data will be collected on a Clinical Data Collection Form from a chart abstraction at the research site.
- All radiographs will be anonymized and transferred in a secure process to a Central Radiologist for the study. The data will be collected in excel spreadsheet or on a Radiographic Data Collection Form.
- Post-operative function and satisfaction will be collected by study personnel via telephone call with the patient
- De-identified data will be entered into a database for analysis.
- Conditions
- Hallux Valgus
- Being tested
- Lapiplasty
- Keywords
- Bunion
- Medical subject headings
- Hallux Valgus, Bunion
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
LapiplastyDevice
Also called Treace Medical Concepts, Inc
The Lapiplasty® System instruments and implants will be retrospectively evaluated in patients previously surgically treated with the Lapiplasty® Procedure for Triplane MTP and TMT joint arthrodesis.
| Study group | Role | What they receive |
|---|---|---|
| Patient reported function of daily ADL's post combined first MTP/TMT joint arthrodesis | Other | Patients that meet the inclusion criteria will be contacted for participation in the study. If the patient agrees to participate in the study, informed consent will be obtained. The retrospective study will consist of a chart review and baseline radiographic analysis. The prospective follow-up will consist of the patient completing the Post-Operative Function and Satisfaction Survey via phone call with study staff. Radiographic images will be analyzed by a single central radiologist. Receives: Device: Lapiplasty |
What is being measured
The primary outcome is the main question the study is designed to answer.
Patient reported level of activity and satisfaction based on functional surveys
Patient responses in the Double Arthrodesis Sports Activities Related to Operative Foot Questionnaire and Sports Activities Related to Operative Foot Questionnaire
Measured: 12 months post procedure
Secondary outcomes (8)
Comparison of Pre-Operative and Post-Operative Radiographic Alignment
X-ray comparison of operative foot
Measured: Baseline, 6 months post procedure
Radiographic Assessment of Healing of first Metatarsophalangeal (MTP) Joint Arthrodesis
- Appropriate radio density and trabecular pattern at joint arthrodesis interface
- No lucency at joint arthrodesis
Measured: 6 months post procedure
Clinical Assessment of Healing of first Metatarsophalangeal (MTP) Joint Arthrodesis
- Absence of clinical motion
- Absence of pain at the arthrodesis site
Measured: 6 months post procedure
Clinical Assessment of Healing of first Tarsometatarsal (TMT) Joint Arthrodesis
- Absence of clinical motion
- Absence of pain at the arthrodesis site
Measured: 6 months post procedure
Radiographic Assessment of Healing of first Tarsometatarsal (TMT) Joint Arthrodesis
- Appropriate radio density and trabecular pattern at joint arthrodesis interface
- No lucency at joint arthrodesis
Measured: 6 months post procedure
Time to start of weight-bearing in boot
The time needed for a study subject to begin bearing weight in a boot after the procedure
Measured: 0-3 weeks
Time to start of weight-bearing in shoe
The time needed for a study subject to begin bearing weight in a shoe after the procedure
Measured: 0-12 weeks
Time to return to full unrestricted activity,
The time needed for a study subject to return to full unrestricted activity after the procedure
Measured: 6 weeks to 12 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted2 Sep 2022
- Study start29 Mar 2022
- Primary completion30 Aug 2023
- Study completion30 Aug 2023
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Hallux ValgusStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Supportive care
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 31 participants (actual)
Sponsor and investigators
- Lead sponsor
- Midwest Bunion Center, LLC
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Paul M Dayton DPM FACFAS, Principal investigator, Foot & Ankle Center of Iowa
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05527197
- Sponsor's protocol ID
- Double Joint Arthrodesis
- Status last verified
- Sep 2022
- First submitted
- 11 May 2022
- Last updated
- 23 Oct 2023
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- Yes
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 23 Oct 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- What do Patients Report Regarding Their Real-world Function Following Combined First MTP and First TMT Arthrodesis?
- ClinicalTrials.gov ID
- NCT05527197
- Acronym / sponsor ID
- Double Joint Arthrodesis
- Conditions
- Hallux Valgus
- Keywords
- Bunion
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 31 participants (actual)
- Lead sponsor
- Midwest Bunion Center, LLCUniversity, hospital or other
- Study start
- 29 Mar 2022 (actual)
- Primary completion
- 30 Aug 2023 (actual)
- Study completion
- 30 Aug 2023 (actual)
- First posted
- 2 Sep 2022 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The goal of the study is to gather sufficient patient data to assess real world postoperative function after a first metatarsophalangeal (MTP) joint arthrodesis done in conjunction with first tarsometatarsal arthrodesis (TMT) (double fusion). Many studies have demonstrated the success of a first MTP joint arthrodesis in eliminating pain and reducing the intermetatarsal angle. Very little research has been published to assess the outcomes of double arthrodesis. Limited research has specifically assessed patients' everyday function and gait following MTP arthrodesis and no studies are available to assess real world function following double arthrodesis. More data that includes patient reported function during activities of daily living is needed to understand the benefits and draw backs of combined first MTP/TMT joint arthrodesis used to treat and correct first ray deformity.
Detailed description
- Retrospective clinical data will be collected on a Clinical Data Collection Form from a chart abstraction at the research site.
- All radiographs will be anonymized and transferred in a secure process to a Central Radiologist for the study. The data will be collected in excel spreadsheet or on a Radiographic Data Collection Form.
- Post-operative function and satisfaction will be collected by study personnel via telephone call with the patient
- De-identified data will be entered into a database for analysis.
Study design
- Primary purpose
- Supportive care
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Patient reported function of daily ADL's post combined first MTP/TMT joint arthrodesis | Other | Device: LapiplastyPatients that meet the inclusion criteria will be contacted for participation in the study. If the patient agrees to participate in the study, informed consent will be obtained. The retrospective study will consist of a chart review and baseline radiographic analysis. The prospective follow-up will consist of the patient completing the Post-Operative Function and Satisfaction Survey via phone call with study staff. Radiographic images will be analyzed by a single central radiologist. |
Who may qualify
- Ages
- 18 to 80 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- Patients with surgeon identified indications for double joint arthrodesis
- Previous double joint arthrodesis procedure (Lapiplasty® Procedure) between 2017-2021
- Procedure completed at least 12 months from the onset of the study
- Early weight-bearing protocol (< 3 weeks)
- Patients between 18 and 80 years of age, inclusive at the time of the procedure
Key exclusion criteria (4 listed)
- Diabetes with neuropathy
- Presence of previous infection of operative foot
- Documented neuropathy of any cause
- Concomitant hindfoot or ankle procedures except tendon procedures or Gastrocnemius recession
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| LapiplastyAlso: Treace Medical Concepts, IncThe Lapiplasty® System instruments and implants will be retrospectively evaluated in patients previously surgically treated with the Lapiplasty® Procedure for Triplane MTP and TMT joint arthrodesis. | Device | Patient reported function of daily ADL's post combined first MTP/TMT joint arthrodesis |
Primary outcome
Patient reported level of activity and satisfaction based on functional surveys
Time frame: 12 months post procedure
Patient responses in the Double Arthrodesis Sports Activities Related to Operative Foot Questionnaire and Sports Activities Related to Operative Foot Questionnaire
8 secondary outcomes
Comparison of Pre-Operative and Post-Operative Radiographic Alignment
Time frame: Baseline, 6 months post procedure
Radiographic Assessment of Healing of first Metatarsophalangeal (MTP) Joint Arthrodesis
Time frame: 6 months post procedure
Clinical Assessment of Healing of first Metatarsophalangeal (MTP) Joint Arthrodesis
Time frame: 6 months post procedure
Clinical Assessment of Healing of first Tarsometatarsal (TMT) Joint Arthrodesis
Time frame: 6 months post procedure
Radiographic Assessment of Healing of first Tarsometatarsal (TMT) Joint Arthrodesis
Time frame: 6 months post procedure
Time to start of weight-bearing in boot
Time frame: 0-3 weeks
Time to start of weight-bearing in shoe
Time frame: 0-12 weeks
Time to return to full unrestricted activity,
Time frame: 6 weeks to 12 months
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 23 Oct 2023.
- Individual participant dataSharing planned: No
Related trials for Hallux Valgus
Active, not recruiting
The Hyalex MTP Study
Hallux Valgus, Hallux Limitus
RecruitingObservational study
A Study of VIRTUGUIDE System and DePuy Synthes Lapidus Implant in Participants Undergoing Lapidus Procedure
Hallux Valgus
Not yet recruitingObservational study
Incidence and Risk Factors of Postoperative Chronic Pain in Patients Who Have Undergone Hallux Valgus Surgery
Postoperative Chronic Pain, Hallux Valgus Surgery
Recruiting
A Study to Compare Early and Partial Weight-bearing After Hallux Valgus Surgery
Hallux Valgus, Orthopedic Disorder
Active, not recruiting
LSTR in Chevron Osteotomy
Bunion
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Paul M Dayton DPM FACFAS principal investigator
Foot & Ankle Center of Iowa
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Lapiplasty in people with Hallux Valgus, run by Midwest Bunion Center, LLC at 1 site in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 7 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 23 Oct 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Patient reported level of activity and satisfaction based on functional surveys (time frame: 12 months post procedure). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 23 Oct 2023.