About this trial
Adult-acquired flatfoot deformity (AAFD) often requires surgical correction when conservative methods fail. Calcaneal displacement osteotomy is a key procedure in restoring alignment. This study introduces a novel K-wire technique to enhance control during surgery and minimize complications related to manual manipulation. It builds on prior research highlighting the limitations of traditional approaches in achieving precise fragment positioning.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
symptomatic flatfoot that will undergo flatfoot correction with calcaneal displacement osteotomy.
Disqualifiers
prior foot surgery
Severe comorbidities or contradictions of the surgery
Trial design
Single group
Treatments tested in this trial
oblique K-wire technique in controlling Calcaneal displacement during osteotomy in flatfoot correction
Procedure/SurgeryUnder spinal Anaesthesia , patients will placed in lateral decubitus position. A standard lateral incision will be made over the calcaneus, and the osteotomy site will be exposed. An oblique K-wire will be inserted percutaneously into the posterior calcaneus under fluoroscopic guidance to facilitate the desired displacement. Cannulated screws will then be inserted across the osteotomy site to secure the calcaneal fragment. Post-operative care will include a non-weight bearing protocol for six weeks, followed by gradual weight bearing as tolerated.
Treatment groups
Trial outcomes
Primary outcomes
assessment of degree of desired displacement
Intra-operative assessment of degree of desired displacement clinical and radiological
Sponsors and contacts
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