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NCT06486753NARecruiting

LSTR in Chevron Osteotomy

The Methodist Hospital Research Institute

Start Date

6/24/2021

Completion Date

3/9/2028

Summary

The goal of this clinical trial is to determine if performing a lateral soft tissue release during a Chevron osteotomy (or Akin osteotomy when appropriate) for bunions leads to better correction without added complications in 200 patients over the age of 18 years old with the capacity to consent and mild to moderate bunions that are determined to benefit from Chevron osteotomies by one of the IRB approved study physicians. The main questions it aims to answer are: How does the addition of a lateral soft tissue release (LSTR) in a Chevron osteotomy bunion surgery affect hallux valgus alpha angle (HVA) correction? How does the addition of an LSTR in a Chevron osteotomy bunion surgery affect intermetatarsal angle (IMA) degrees of correction? Researchers will compare Chevron osteotomy bunion surgeries with and without LSTR to see if LSTRs lead to better correction without added complications. Participants will: * Be randomized to a control group where they receive a typical Chevron osteotomy bunion surgery or to the experimental group where they receive a Chevron osteotomy bunion surgery with an LSTR. * Complete surveys preoperatively and at 3, 6, and 12 months after surgery. * Receive routine x-rays pre and postoperatively to compare hallux valgus angle (HVA).

Eligibility Criteria

Age Range: 18 years to No maximum

Inclusion Criteria: * Over the age of 18 years old * Have mild to moderate bunions that are determined to benefit from Chevron osteotomies Exclusion Criteria: * Under the age of 18 * Connective tissue disease * Juvenile bunions * Severe bunions * Revision surgery

Interventions

PROCEDURE

Chevron osteotomy bunion surgery with lateral soft tissue release

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Conditions

Bunion

Locations

Houston Methodist Research Institute

Houston, Texas 77030

United States