Effect of Lower Extremity Traction on the Popliteal Angle After Percutaneous Needle Tenotomy of the Knee Flexor Muscles.

NCT05736328 | Unknown

• 1 other identifier: 2023-002
• Study Type: observational
• Target: 20
• Locations: 1 country
• Sites: 1

Brief Summary

People with neuromotor disability (i.e. following an inborn or acquired spinal cord, cerebral or peripheral neurological lesion) are at risk of neuro-orthopaedic disorders. Microinvasive percutaneous needle tenotomy is a frequent use alternative to open surgery to treat limb deformities. A lower extremity traction is performed in our unit during 2 to 7 days after surgery of the knee flexor muscles. The aim of this study is to describe the efficiency of lower extremity traction on the popliteal angle after percutaneous needle tenotomy of the knee flexor muscles.

Conditions

Disability or Chronic Disease Leading to Disablement

Keywords

Neuro-Orthopaedics; Traction; Tenotomy; Disabled persons

Outcome Measures

Primary Outcomes (1)

• Popliteal angle at the end of the traction

  Difference in popliteal angle between the beginning and end of traction, evaluated with the Kinovea angle measurement tool. In case of bilateral traction, the average of the differences of each limb will be considered.

  Daily, during the traction (up to 7 days).

Secondary Outcomes (5)

• Success of surgery

  At 30 days after surgery

• Popliteal angle

  Daily, during the traction (up to 7 days).

• Knee angle

  Daily, during the traction (up to 7 days).

• Pain

  Daily, during the traction (up to 7 days).

• Skin condition

  Daily, during the traction (up to 7 days).

Study Arms (1)

Subjects admitted for percutaneous needle tenotomy of the knee flexor muscles

Postoperative lower extremity traction.

Procedure: Traction

Interventions

Traction PROCEDURE

Postoperative lower extremity traction

Subjects admitted for percutaneous needle tenotomy of the knee flexor muscles

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Subjects with neuromotor disability and admitted for the treatment of limb deformities by percutaneous needle tenotomy of the knee flexor muscles.

You may qualify if:

• Patients \>= 18 years old ;
• Treated in the Perioperative Disability Unit (UPOH) of the Physical Medicine and Rehabilitation Department of our university hospital;
• Admitted for the treatment of limb deformities by percutaneous needle tenotomy of the knee flexor muscles ;
• Having a neuromotor disability;
• No opposition to be enrolled in the study from the patient, or from a legally authorized close relative if the patient's state of health does not allow it;
• Affiliation to a social security scheme.

You may not qualify if:

• Associated open surgery ;
• Associated bone surgery ;
• Under court protection.

Sponsors & Collaborators

• Institut de Sante Parasport Connecte Synergies: lead
• Assistance Publique - Hôpitaux de Paris: collaborator

Study Sites (1)

Department of Physical Medicine and Rehabilitation, Raymond Poincaré Hospital, AP-HP

Garches, 92380, France

RECRUITING

Related Publications (3)

• Chesnel C, Genet F, Almangour W, Denormandie P, Parratte B, Schnitzler A. Effectiveness and Complications of Percutaneous Needle Tenotomy with a Large Needle for Muscle Contractures: A Cadaver Study. PLoS One. 2015 Dec 1;10(12):e0143495. doi: 10.1371/journal.pone.0143495. eCollection 2015.

  PMID: 26624990 BACKGROUND

• Schnitzler A, Genet F, Diebold A, Mailhan L, Jourdan C, Denormandie P. Lengthening of knee flexor muscles by percutaneous needle tenotomy: Description of the technique and preliminary results. PLoS One. 2017 Nov 7;12(11):e0182062. doi: 10.1371/journal.pone.0182062. eCollection 2017.

  PMID: 29112966 BACKGROUND

• Angioni F, Salga M, Denormandie P, Genet F, Haigh O, David R, Gatin L, Schnitzler A. Microinvasive percutaneous needle tenotomy, An alternative to open surgery to treat neurological foot deformities. Ann Phys Rehabil Med. 2023 Mar;66(2):101690. doi: 10.1016/j.rehab.2022.101690. Epub 2022 Nov 30. No abstract available.

  PMID: 35843500 BACKGROUND

MeSH Terms

Interventions

Traction

Intervention Hierarchy (Ancestors)

Orthopedic Procedures; Surgical Procedures, Operative

Study Officials

• François Genêt, MD-PhD

  Department of Physical Medicine and Rehabilitation, Raymond Poincaré Hospital, AP-HP, 92380 Garches, France

  STUDY CHAIR

• Vincent T. Carpentier, MD-MSc

  Department of Physical Medicine and Rehabilitation, Raymond Poincaré Hospital, AP-HP, 92380 Garches, France

  STUDY DIRECTOR

Central Study Contacts

François Genêt, MD-PhD

CONTACT

+ 33 1 47 10 70 82; françois.genet@aphp.fr

Vincent T. Carpentier, MD-MSc

CONTACT

+ 33 1 47 10 70 82; vincent.carpentier@ispc-synergies.org

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: February 6, 2023
• First Posted: February 21, 2023
• Study Start: March 2, 2023
• Primary Completion: January 31, 2024
• Study Completion: February 28, 2024
• Last Updated: March 3, 2023

Record last verified: 2023-03

Data Sharing

• IPD Sharing: Will not share

Locations

FR (1)