Painful and Barometric Dynamic Monitoring in the Aftermath of Foot Surgery Using the Distal Metatarsal Mini-invasive Osteotomy (DMMO) Method (BAROC)

March 29, 2021 updated by: Centre Hospitalier le Mans

Painful and Barometric Dynamic Monitoring in the Aftermath of Foot Surgery Using the Distal Metatarsal Mini-invasive Osteotomy (DMMO) Method.

The definitive treatment of disabling metatarsalgia requires surgery. In recent years, a percutaneous technique has been developed, the "Distal Metatarsal Mini-invasive Osteotomy" (DMMO). It consists of performing extra-articular osteotomies that are not osteosynthesized and maintained during the time of bone consolidation by a dressing and specific offloading footwear.The patient is encouraged to resume walking immediately after the procedure, as full plantar support is an integral part of the surgical concept. The goal is to actively modify the distribution of all metatarsal supports by the pressure exerted on the ground during walking and by tendon tensions, in order to reduce forefoot deformities.

DMMO offers many advantages over traditional techniques, but it remains a painful forefoot surgery in the short term despite the systematic use of analgesics and the wearing of a dedicated therapeutic shoe.

The study will seek to identify the predictive character of podobarometric parameters at walking (D+7 and D+30 post-op), between patients who will require a palliative solution versus those who will not (D+90)

Study Overview

Status

Recruiting

Intervention / Treatment

Study Type

Interventional

Enrollment (Anticipated)

70

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Locations

      • Le Mans, France, 72000
        • Recruiting
        • Centre Hospitalier Du Mans

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

16 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Adult person
  • Affiliated or beneficiary of a statutory social insurance scheme
  • Free ans informed consent
  • Following foot surgery like DMMO only or DMMO and hallux valgus

Exclusion Criteria:

  • Minor or legally protect adult
  • Amputation disturbing the natural course of the step
  • Osteoarticular diseases/sequelae affecting walking and/or balance
  • Neuromuscular diseases/sequelae affecting walking and/or balance
  • Vestibular disorders affecting balance
  • Patients requiring a walking aid (e.g., walker)
  • Pregnant woman
  • Patient with dementia who are unable to follow verbal instructions

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Other
  • Allocation: N/A
  • Interventional Model: Single Group Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: podobarometry
podobarometric measures at day7 and day 30
podobarometric measures on day 7 and day 30

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
podobarographic parameters (plantar pressures) predictive of the need for a palliative foot orthosis
Time Frame: 90 days after surgery
Plantar pressures were measured by podobarometric Platform (FREEMED Platform)
90 days after surgery

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Compare daily walk pain kinetics over one month postoperatively in patients requesting palliative solutions at 3 months (requesters) versus those not requesting them (non-requesters)
Time Frame: 90 days after surgery
Daily walk pain was measured by questionnaire (Google form) completed by patient every day during 30 days
90 days after surgery

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

March 22, 2021

Primary Completion (Anticipated)

September 22, 2023

Study Completion (Anticipated)

September 22, 2023

Study Registration Dates

First Submitted

March 25, 2021

First Submitted That Met QC Criteria

March 29, 2021

First Posted (Actual)

March 30, 2021

Study Record Updates

Last Update Posted (Actual)

March 30, 2021

Last Update Submitted That Met QC Criteria

March 29, 2021

Last Verified

March 1, 2021

More Information

Terms related to this study

Other Study ID Numbers

  • CHM-2020/S11/09

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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