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Trial registered on ANZCTR
Registration number
ACTRN12621000262808p
Ethics application status
Submitted, not yet approved
Date submitted
14/12/2020
Date registered
10/03/2021
Date last updated
4/04/2022
Date data sharing statement initially provided
10/03/2021
Type of registration
Prospectively registered
Titles & IDs
Public title
Comparison of stiff sole shoes vs flexible sole shoes (sneakers) on foot and ankle function in patients undergoing forefoot surgery
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Scientific title
Comparison of Rigid Flat Shoes Versus Flexible Sole Shoes on Foot and Ankle Function in Patients Undergoing Forefoot Surgical Treatment (ComForT)
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Secondary ID [1]
303018
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None
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Universal Trial Number (UTN)
U1111-1262-7024
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Trial acronym
ComForT
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Forefoot Surgery
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Condition category
Condition code
Surgery
318012
318012
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0
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Other surgery
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Comfortable lace up shoes (e.g. sneaker) owned by the participant will be worn 2 weeks after surgery. The shoes will be worn while the patient is weight bearing, i.e. walking for any length of time. The shoes may be removed for sleeping or when the patient is not weight bearing. This will start at 2 weeks post surgery. This will be needed for at least unto 6 weeks after surgery. As these are the patient's own lace up shoes, they may continue to wear these in the future as they wish. The intervention will administered by the orthopaedic surgeon/staff in the clinic at their 2 weeks post surgery visit. The patient will be reminded to bring their shoes to this visit. Adherence will not be measured
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Intervention code [1]
319306
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Treatment: Other
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Comparator / control treatment
Immediately post surgery, the patient will be placed in a stiff sole shoe (provided by the hospital) by the orthopaedic surgeon. The patient will be discharged with this stiff sole shoe. The patient will continue to wear this while weight bearing i.e. walking. This will be administered by the orthopaedic surgeon in the operating room after surgery. Adherence will not be measured
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Control group
Active
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Outcomes
Primary outcome [1]
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100 point visual analogue score for pain
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Assessment method [1]
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Timepoint [1]
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6 weeks post surgery
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Secondary outcome [1]
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modified 5 point likert satisfaction questionnaire will measure patient satisfaction with the specific shoe type
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Assessment method [1]
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Timepoint [1]
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6 weeks post surgery
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Secondary outcome [2]
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radiographic analysis of union for arthrodesis/correction of hallux valgus
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Assessment method [2]
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Timepoint [2]
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1 year post surgery
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Secondary outcome [3]
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Adverse events e.g. blisters, paraesthesia, DVTs, PEs, infection. This will be collected when assessing the patient directly
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Assessment method [3]
389839
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Timepoint [3]
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6 weeks post surgery of the participant
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Secondary outcome [4]
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Foot and Ankle Outcome Score (FAOS). This is a validated composite patient reported outcome measure
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Assessment method [4]
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Timepoint [4]
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3 months post surgery of the participant
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Secondary outcome [5]
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Foot and Ankle Outcome Score (FAOS)
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Assessment method [5]
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Timepoint [5]
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6 months post surgery of the participant
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Secondary outcome [6]
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Foot and Ankle Outcomes Score (FAOS)
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Assessment method [6]
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Timepoint [6]
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12 months post surgery of the participant
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Secondary outcome [7]
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General Health using the VR-12 general health survey
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Assessment method [7]
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Timepoint [7]
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at 3 months post surgery of the participant
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Eligibility
Key inclusion criteria
Patients between the ages of 18 to 80 (inclusive) undergoing 1st ray surgery surgery (either scarf and akin osteotomies for hallux valgus correction or first MTP joint fusion) will be recruited. Patients undergoing concomitant additional forefoot procedures (such as interphalangeal joint (IPJ) fusion of lesser toes, soft tissue corrective procedures, or excision of Morton’s neuroma) will be included.
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Minimum age
18
Years
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Maximum age
80
Years
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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
Exclusion criteria will be bilateral surgery, revision procedures, additional foot arthrodesis or osteotomy procedures performed proximal to the forefoot, not willing to participate in the trial, cognitive impairment that may impair the patient’s ability to follow post-operative instructions or unable to provide informed consent
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Sealed opaque sequentially labelled envelopes
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Computerised random number generators
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
None
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Phase
Not Applicable
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
Continuous variables will be assessed using T test, while categorical ones will be assessed using non-parametric tests
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
1/07/2022
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Actual
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Date of last participant enrolment
Anticipated
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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)
NSW
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Recruitment postcode(s) [1]
32261
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2060 - North Sydney
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Funding & Sponsors
Funding source category [1]
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Self funded/Unfunded
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Name [1]
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Andrew Wines
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Address [1]
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Suite G02, Mater Clinic
3 Gillies Street
Wollstonecraft NSW 2065
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Country [1]
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Australia
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Primary sponsor type
Individual
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Name
Andrew Wines
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Address
Suite G02, Mater Clinic
3 Gillies Street
Wollstonecraft NSW 2065
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
308420
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Ethics approval
Ethics application status
Submitted, not yet approved
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Ethics committee name [1]
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St Vincent’s Hospital Human Research Ethics Committee
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Ethics committee address [1]
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97-105 Boundary Street Darlinghurst NSW 2010
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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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08/02/2021
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Approval date [1]
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Ethics approval number [1]
307511
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Summary
Brief summary
With novel surgical techniques and hardware design, plaster casts are not necessary to immobilise feet after 1st metatarsal surgery. Most surgeons support the use of a stiff sole post-operative shoe in either partial or full weight bearing to protect the surgical site and prevent complications over the course of 6 weeks post-surgery. We have previously demonstrated the use of rigid flat shoes improves satisfaction over the use of reverse camber shoe. The purpose of this study is to assess whether the use of comfortable shoes vs stiff sole shoes affects patient reported outcomes. Differences in long-term surgical outcomes of non-union and recurrence will also be investigated.
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Trial website
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Trial related presentations / publications
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Public notes
None
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Contacts
Principal investigator
Name
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Dr Rajat Mittal
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Address
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Suite 10
Mons road
Westmead Private Hospital
Westmead, 2145, NSW
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Country
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Australia
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Phone
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+61 2 8755 2644
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Rajat Mittal
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Address
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Suite 10
Mons road
Westmead Private Hospital
Westmead, 2145, NSW
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Country
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Australia
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Phone
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+61 2 8755 2644
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Rajat Mittal
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Address
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Suite 10
Mons road
Westmead Private Hospital
Westmead, 2145, NSW
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Country
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Australia
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Phone
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+61 2 8755 2644
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Fax
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Email
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
For privacy reasons, individual patient data will not be made available
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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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