A randomised controlled trial investigating the effect of debridement of painful and disabling forefoot plantar callosities and corns in rheumatoid arthritis.

ISRCTN ISRCTN74129767
DOI https://doi.org/10.1186/ISRCTN74129767
Protocol serial number N0436130647
Sponsor Department of Health
Funder Leeds Teaching Hospitals NHS Trust (UK)
Submission date
30/09/2004
Registration date
30/09/2004
Last edited
06/10/2009
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Skin and Connective Tissue Diseases
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Miss H J Davys
Scientific

Foot Health Department, B Floor
Brotherton Wing
Leeds Teaching Hospitals NHS Trust
Great George Street
Leeds
LS1 3EX
United Kingdom

Phone +44 (0)113 3923558
Email r&d@leedsth.nhs.uk

Study information

Primary study designInterventional
Study designRandomised controlled trial
Secondary study designRandomised controlled trial
Scientific title
Study objectivesPrimary aim: to investigate the immediate (same day) and subsequent daily effects of expert scalpel debridement of symptomatic forefoot plantar callosities and corns on forefoot pain in rheumatoid arthritis.

Secondary aims: to evaluate and compare the results of plantar pressure measurement following expert scalpel debridement of forefoot symptomatic lesions in RA patients using high-resolution pressure platform and in-shoe measurement systems. To estimate associated risks (adverse reactions) of treatment including episodes of immediate discomfort post intervention, localized bleeding or ulceration at treated lesion sites. A retrospective review of forefoot pathology determined by x-ray including deformity and extent of erosions for cases where existing films are available.
Ethics approval(s)Not provided at time of registration
Health condition(s) or problem(s) studiedCorns and collosites in rheumatoid arthritis (RA)
InterventionRandomised controlled trial. Random allocation to
1. Scalpel debridement
2. Sham proceedure using blunt scalpel
Intervention typeOther
Primary outcome measure(s)

1. Foot pain visual analogue scales, Leeds Foot Impact Scale.
2. Spatial & temporal parameters using GaitRite system
3. Plantar pressure measurement using Novel Pedar in-shoe system an emed-sf platform.
4. Individual Larsen score for each metatarsophalangeal (MTP) joint.

Key secondary outcome measure(s)

Not provided at time of registration

Completion date01/03/2004

Eligibility

Participant type(s)Patient
Age groupNot Specified
SexNot Specified
Target sample size at registration38
Key inclusion criteriaPatients with a positive diagnosis of rheumatoid arthritis (American College of Rheumatology [ACR] classification 1987) and symptomatic forefoot plantar corns and callosities.
Key exclusion criteriaDoes not match inclusion criteria
Date of first enrolment01/09/2003
Date of final enrolment01/03/2004

Locations

Countries of recruitment

  • United Kingdom
  • England

Study participating centre

Foot Health Department, B Floor
Leeds
LS1 3EX
United Kingdom

Results and Publications

Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/02/2005 Yes No