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Trial registered on ANZCTR
Registration number
ACTRN12615001342505p
Ethics application status
Not yet submitted
Date submitted
19/11/2015
Date registered
9/12/2015
Date last updated
9/12/2015
Type of registration
Prospectively registered
Titles & IDs
Public title
Patient-orientated outcomes following 1st metatarsophalangeal (MTP) joint surgery for hallux rigidus (stiff big toe)
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Scientific title
Patient-oriented outcomes following 1st MTP joint arthrodesis for hallux rigidus
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Secondary ID [1]
287915
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None
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Hallux rigidus surgical outcomes
296798
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Condition category
Condition code
Surgery
297027
297027
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0
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Other surgery
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Musculoskeletal
297081
297081
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0
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Osteoarthritis
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
Patients outcomes following 1st metatarsophalangeal (MTP) joint arthrodesis for hallux rigidus will be measured using a self-reported questionnaire of patient concerns using open ended questions, and the American Orthopaedic Foot and Ankle (AOFAS) Hallux Metatarsophalangeal-Interphalangeal (MTP-IP) scale. Participants will be assessed at two weeks, 6 weeks and three months following surgery.
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Intervention code [1]
293364
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Not applicable
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Comparator / control treatment
No control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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The primary outcome of this study is to assess patient satisfaction with surgery. Patients will be free to respond to questionnaires without the restriction of closed-ended questions. The questionnaire was designed specifically for the study.
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Assessment method [1]
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Timepoint [1]
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Patients participating in the study will be questioned two weeks post surgery, 6 weeks post surgery and 3 months after surgery.
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Secondary outcome [1]
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Postoperative complications including symptomatic hardware removal, metatarsalgia or clawing, non union and interphalangeal joint pain can also be established as a result of the post operative questionnaire. The questionnaire was specifically developed for this study to enable patient to provide open answered responses.
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Assessment method [1]
318957
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Timepoint [1]
318957
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two weeks post surgery, 6 weeks post surgery and 3 months post surgery.
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Eligibility
Key inclusion criteria
Diagnosed with hallux rigidus of grade 1 or greater following plain film X-ray, identified as having undergone an isolated 1st MTP joint arthrodesis in the senior author's private foot and ankle practice within the previous two weeks, no other symptomatic condition of the foot or ankle, discharged from care following successful healing from surgery, consent to participate in the study.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
patients with peripheral neuropathy, diabetes mellitus, inflammatory arthritis, neuromuscular disease, concomitant arthritis located elsewhere in the foot and those who had previously undergone arthrodesis surgery on the same joint
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Study design
Purpose
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Duration
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Selection
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Timing
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Statistical methods / analysis
Changes in mean AOFAS scores before and after surgery will be analysed using paired t-test on GraphPad software. The level of significance will be set at p<0.05. Since no other study of this kind has been performed we can not calculate the appropriate sample size for this study. Based on out bio-statistician's recommendations we estimate that 100 patients will be sufficient to appropriately power our statistical analysis.
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
1/04/2016
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Actual
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Date of last participant enrolment
Anticipated
29/11/2016
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
100
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment hospital [1]
4683
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Epworth Richmond - Richmond
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Recruitment postcode(s) [1]
12262
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3121 - Richmond
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Funding & Sponsors
Funding source category [1]
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Charities/Societies/Foundations
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Name [1]
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Norman Beischer Medical Research Foundation
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Address [1]
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Level 1, 380 Victoria Parade, East Melbourne, Vic, 3002
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Country [1]
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Australia
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Primary sponsor type
Individual
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Name
Mr Andrew Beischer
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Address
Victorian Orthopaedic Foot and Ankle Clinic
The Epworth Centre
Level 6, Suite 6.3
32 Erin Street
Richmond
Victoria 3121
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Country
Australia
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Secondary sponsor category [1]
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Commercial sector/Industry
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Name [1]
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Melbourne Orthotics
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Address [1]
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44 highbury Road
Burwood
Victoria 3125
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Country [1]
291097
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Australia
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Other collaborator category [1]
278707
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Individual
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Name [1]
278707
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Dr Aileen Ibuki
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Address [1]
278707
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Melbourne Orthotics
44 Highbury Road
Burwood
Victoria, 3125
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Country [1]
278707
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Australia
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Ethics approval
Ethics application status
Not yet submitted
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Ethics committee name [1]
293876
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Epworth Richmond
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Ethics committee address [1]
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89 Bridge Road Richmond Vic 3121
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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03/02/2016
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Approval date [1]
293876
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Ethics approval number [1]
293876
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Summary
Brief summary
Hallux Rigidus is the most common arthritic condition of the foot, causing pain and stiffness of the 1st metatarsophalangeal (MTP) joint. Consideration of surgical management following failure of nonoperative treatment is based on multiple factors including age and activity level of the patient, as well as the severity of the arthritis. An arthrodesis of this joint is regarded as the gold standard for treatment of end stage hallux rigidus. The goal of this procedure is to relieve pain and improve functional status. Our study aims to collect information regarding the outcomes of surgery from a patients perspective. This information will allow surgeons to ensure that patients are fully informed of the implications of surgery.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Mr Andrew Beischer
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Address
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VOFAC
The Epworth Centre
Level 6, Suite 6.3
32 Erin Street
Richmond
Vic 3121
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Country
61562
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Australia
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Phone
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+61 3 9428 9944
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Fax
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+61 3 9428 9944
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Email
61562
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[email protected]
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Contact person for public queries
Name
61563
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Kate Claxton
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Address
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VOFAC
The Epworth Centre
Level 6, Suite 6.3
32 Erin Street
Richmond
Vic 3121
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Country
61563
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Australia
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Phone
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+61 3 9428 9944
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Fax
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+61 3 9428 3444
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Email
61563
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[email protected]
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Contact person for scientific queries
Name
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Kate Claxton
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Address
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VOFAC
The Epworth Centre
Level 6, Suite 6.3
32 Erin Street
Richmond
Vic 3121
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Country
61564
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Australia
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Phone
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+61 3 9428 9944
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Fax
61564
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+61 3 9428 3444
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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