Percutaneous Achilles Tendon Tenotomy vs Tendo-Achilles Lengthening (TAL) in Neglected Clubfoot C… (NCT07561697) | Clinical Trial Compass
RecruitingNot Applicable
Percutaneous Achilles Tendon Tenotomy vs Tendo-Achilles Lengthening (TAL) in Neglected Clubfoot Children.
Pakistan44 participantsStarted 2025-08-15
Plain-language summary
Achilles tendon tenotomy is the established worldwide gold standard for correcting idiopathic clubfoot. However, in neglected cases, surgical interventions such as percutaneous Achilles tendon tenotomy (PAT) and open tendo-Achilles lengthening (TAL) are common techniques for correcting this deformity. This study aimed at determining the functional outcomes of Percutaneous Achilles Tendon Tenotomy (PAT) vs tendo-Achilles Lengthening (TAL) in the neglected clubfoot children of age 2-5 years.
Who can participate
Age range
2 Years – 5 Years
Sex
ALL
See this in plain English?
AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.
Inclusion Criteria:
* Any gender
* Aged 2-5 years
* diagnosed with clubfoot
* Pirani score 3-6
Exclusion Criteria:
* Patients with other neuromuscular, chromosomal abnormalities
* myelomeningocele
* Dystrophic dysplasia
* Moebius syndrome
* Amniotic band syndrome
* Metatarsus adductus
* Syndactyly
* Polydactyly
* Previously underwent Achilles tendon tenotomy or tendo-Achilles lengthening
Questions worth asking your doctor
Bring these to your next appointment. They're a starting point for a shared conversation — not a sign you qualify or a recommendation to enrol.
1This trial compares two surgical procedures for neglected clubfoot — percutaneous Achilles tendon tenotomy versus tendo-Achilles lengthening — so can you explain the key differences between these two approaches and which one you would lean toward for my child's specific situation?
2Since this trial is measuring improvement in ankle dorsiflexion as its main outcome, how does my child's current range of ankle movement compare to what would be considered a successful result, and is that a realistic goal for them?
3Because this is listed as Phase NA, meaning it's a surgical comparison study rather than a traditional drug trial, what does the existing evidence say about the safety and recovery experience of each procedure for children with neglected clubfoot?
4What does 'neglected clubfoot' mean in the context of this trial's eligibility, and how does my child's treatment history affect whether this study would even be an appropriate option to discuss with the surgical team?
5Are there standard-of-care treatment paths outside of this trial that we should consider first, and what would we lose or gain by choosing to participate in the study versus pursuing one of these procedures outside of a research setting?
Generated to help you prepare — always confirm anything about your own eligibility and care with the study team and your doctor.
Questions for the trial coordinator
The trial coordinator is the person who runs the study day to day. These cover the practical side — logistics, costs, and what taking part would actually mean for your life. The study team confirms whether you meet the criteria; these are questions to ask, not a sign you qualify.
1What does taking part actually involve week to week — how many visits, where, and how long does each one take?
2What costs are covered by the study, and what might I have to pay for myself, including travel, parking, or time off work?
3What happens during screening, and what happens if the study team confirms I don't meet the criteria after those tests?
4Who pays for the scans, blood work, and other tests the trial requires — the study, my insurance, or me?
5How will being in the trial affect my regular care, and will my own doctor stay informed and involved?
6Can I leave the trial at any point if I change my mind, and what would happen to my care if I do?
A starting point for the conversation — always confirm anything about your own eligibility, costs, and care with the study team and your doctor.