Randomised controlled trial of Taylor's versus scarf osteotomy for hallux valgus

ISRCTN ISRCTN20928161
DOI https://doi.org/10.1186/ISRCTN20928161
Secondary identifying numbers N0234179113
Submission date
28/09/2007
Registration date
28/09/2007
Last edited
10/07/2017
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Musculoskeletal Diseases
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Not provided at time of registration

Contact information

Mr S White
Scientific

Avon Orthopaedic Centre
Southmead Hospital
Bristol
BS10 5NB
United Kingdom

Email simonpwhite@blueyonder.co.uk

Study information

Study designRandomised controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details to request a patient information sheet
Scientific titleRandomised controlled trial of Taylor's versus scarf osteotomy for hallux valgus
Study objectivesIs there any difference in the results of surgery between two commonly performed operations for hallux valgus (bunion)?
Ethics approval(s)Not provided at time of registration
Health condition(s) or problem(s) studiedMusculoskeletal Diseases: Hallux valgus
InterventionPatients who are on the waiting list for surgery for bunions (hallux valgus) under the care of the 3 North Bristol NHS Trust foot and ankle Consultant surgeons will have an x-ray taken in the clinic. If the x-ray shows a suitable position of the bonesfor one of the two operations, and the patient is requesting surgery, then the patient will be invited to participate in the trial. It will be explained by the surgeon listing the patient for surgery.
Patients will receive an information sheet explaining the trial. If they consent to enter the trial, then they will be randomised to receive one of the two operations. Patients will be asked to complete a questionnaire with questions concerning pain and activity level. This can be completed by the patient to ensure no bias is introduced.
The operation will be performed by their usual surgical team. The postoperative care will be the same regardless of which operation is performed. Patients will be seen at 2 weeks, 6 to 8 weeks, 3 months and 1 year for clinical reviews. X-rays will be performed at 6 to 8 weeks and at 1 year. Patients will be asked to complete a questionnaire at 1 year whilst attending the clinic. This will be the final review. Measurements will be taken from the 1 year x-ray and compared to the pre-surgery x-ray. Patient scores regarding satisfaction, pain, activity levels will be assessed from the questionnaires. Any complications will be recorded as they occur.
The review at 1 year has been chosen because by this stage the patient should have achieved the level of symptoms that they could expect long-term after surgery.
Results will be analysed using a statistical package (SPSS software).
Intervention typeProcedure/Surgery
Primary outcome measureIntermetatarsal angle correction (degrees)
Secondary outcome measuresNot provided at time of registration
Overall study start date02/01/2006
Completion date02/01/2008

Eligibility

Participant type(s)Patient
Age groupNot Specified
SexNot Specified
Target number of participantsApproximately 120 participants (60 per treatment group)
Key inclusion criteria1. Hallux valgus deformity requiring surgical correction because of discomfort, pain, inability to wear appropriate footwear
2. X-rays will be measured. The intermetatarsal angle should be between 11 and 18 degrees for inclusion. This range is known as the moderate range and is felt to be suitable for the 2 operations in the trial. An angle greater than this would require a different type of operation.
Key exclusion criteria1. Inability to consent - it is non-life or limb threatening surgery, therefore patients should be able to consent to a surgical procedure
2. Age under 16 - unusual to require surgery at this age, and this would lead to consent issues
3. Multiple surgery to other toes, foot or ankle - will influence results because shape correction may be due to the other surgical procedures
4. Distal surgery required - will cause bias because not studying the same deformity and angle correction will be affected
5. Previous surgery to first metatarsal - more complicated surgery, not comparing same condition
Date of first enrolment02/01/2006
Date of final enrolment02/01/2008

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

Southmead Hospital
Bristol
BS10 5NB
United Kingdom

Sponsor information

Record Provided by the NHSTCT Register - 2007 Update - Department of Health
Government

The Department of Health
Richmond House
79 Whitehall
London
SW1A 2NL
United Kingdom

Phone +44 (0)20 7307 2622
Email dhmail@doh.gsi.org.uk
Website http://www.dh.gov.uk/Home/fs/en

Funders

Funder type

Government

North Bristol NHS Trust
Government organisation / Local government
Alternative name(s)
NBT
Location
United Kingdom

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Editorial Notes

10/07/2017: No publications found, verifying study status with principal investigator.