Evaluating muscle activity to predict Achilles tenotomy in clubfoot management

Evertor Muscle Activity as a Predictor of Achilles Tenotomy Before 1 Year in the Management of Idiopathic Varus Equinus Clubfoot

Not applicable Interventional Fondation Lenval · NCT05767762

This study is testing if measuring muscle activity in infants with clubfoot can help predict whether they will need surgery on their Achilles tendon.

Quick facts

PhaseNot applicable
Study typeInterventional
Enrollment50 (estimated)
Ages0 Months to 12 Months
SexAll
SponsorFondation Lenval Academic / other
Locations1 site (Nice)
Trial IDNCT05767762 on ClinicalTrials.gov

What this trial studies

This study investigates the relationship between muscle activity and the need for Achilles tenotomy in infants with idiopathic clubfoot. It utilizes a muscle scale inspired by the Dimeglio score to assess muscle activity and its correlation with the risk of tenotomy before the age of one. The study will follow a cohort of approximately 100 feet over eight years, with assessments at 3, 6, and 12 months. Additionally, it aims to evaluate the reproducibility of the muscle scale among different examiners.

Who should consider this trial

Good fit: Ideal candidates are infants diagnosed with idiopathic clubfoot who are treated using the functional method within the first 15 days of life.

Not a fit: Patients with syndromic clubfoot or those managed by methods other than the functional approach will not benefit from this study.

Why it matters

Potential benefit: If successful, this study could improve the management of clubfoot by providing a better predictive tool for the need for surgical intervention.

How similar studies have performed: While the literature on muscle activity in clubfoot management is limited, this approach is novel and has not been extensively tested in prior studies.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* idiopathic clubfoot, managed by the functional method, managed before D15 to perform the initial assessment.

Exclusion Criteria:

* syndromic clubfoot, management other than functional method, management after D15

Where this trial is running

Nice

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions ClubfootMuscle activityscaleAchilles tenotomy
Last reviewed 2026-06-10 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.