Status:
RECRUITING
A Needle Technique for Achilles Tendon Lengthening in Pediatric Patients: A Prospective Study on Efficacy, Safety, and Feasibility
Lead Sponsor:
Vestre Viken Hospital Trust
Conditions:
Equinus Contracture
Eligibility:
All Genders
5-16 years
Phase:
NA
Brief Summary
For years, we have used a minimally invasive and biological variant of Achilles tendon lengthening using a needle inserted into the Achilles tendon so that it is weakened and can be gradually stretche...
Detailed Description
cases of restriction. Traditionally, Achilles tendon lengthening has been performed through open surgery using Z lengthening or sliding techniques, or percutaneously with 2-3 partial cuts using a scal...
Eligibility Criteria
Inclusion
- Age: 5-16 years
- Consent from parents/guardians
- Indication for Achilles tendon lengthening (toe walking, spasticity), both unilateral and bilateral:
- Equinus foot with dorsiflexion ≤ 0 degrees with the knee extended and the heel in neutral position.
- Symptomatic equinus foot, meaning a foot position causing pain, discomfort, increased fatigue, etc.
Exclusion
- Unwillingness to participate, lack of consent
- Previous surgical Achilles tendon lengthening, e.g., for clubfoot
- Received BoNT-a injection in the triceps surae within the last 6 months
- Contracture in the ankle joint, i.e., equinus position not due to a tight Achilles tendon
- Positive Silfverskiöld test and dorsiflexion \> 5 degrees with the knee extended (indicating the need for gastrocnemius recession)
- Concurrent other surgery/other procedures on the same lower extremity, including BoNT-a injection
Key Trial Info
Start Date :
January 1 2025
Trial Type :
INTERVENTIONAL
Allocation :
ESTIMATED
End Date :
August 31 2027
Estimated Enrollment :
50 Patients enrolled
Trial Details
Trial ID
NCT06912061
Start Date
January 1 2025
End Date
August 31 2027
Last Update
April 13 2025
Active Locations (1)
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1
Drammen Sykehus, Vestre Viken HF
Drammen, Norway, 3004