Weil osteotomy alone versus Weil plus plantar plate repair for floating toe
Official title: Plantar Plate Repair for Treatment of Floating Toe: Must we Associate it to Weil Osteotomy?
Run by Fundació Institut de Recerca de l'Hospital de la Santa Creu i Sant Pau · NCT05625282 · Data updated 2026-11-12
This project will test whether Weil osteotomy alone works as well as Weil osteotomy combined with plantar plate repair for adults with grade II or III floating toe.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 70 (estimated) |
| Sponsor | Fundació Institut de Recerca de l'Hospital de la Santa Creu i Sant Pau Academic / other |
| Locations | 1 site (Barcelona) |
| Status | Recruiting |
| Started | November 18, 2022 |
| Main results expected | June 30, 2026 |
| Study ends | September 30, 2026 |
| Registry record updated | November 18, 2025 |
| Trial ID | NCT05625282 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults (18 years or older) with symptomatic grade II or III floating toe who can understand treatment and recovery and are eligible for primary surgical correction.
✕Probably not a fit
Patients with intraoperative plantar plate grades 0, I, or IV, those requiring secondary surgery, or those unable to follow postoperative care are unlikely to benefit from the procedures tested here.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a prospective non-inferiority comparison of two surgical approaches for adults with grade II or III floating toe. Participants will receive either isolated Weil osteotomy or Weil osteotomy combined with plantar plate repair, with plantar plate injury graded during surgery. Key outcomes include pain, toe function, alignment, and complication or reoperation rates over postoperative follow-up. The protocol excludes patients with plantar plate grades 0, I, or IV and those undergoing secondary surgery.
Why it matters
Potential benefit: If successful, patients might avoid the added surgical complexity and recovery of plantar plate repair while achieving similar pain relief and toe alignment.
How similar studies have gone: Both Weil osteotomy and plantar plate repair are established procedures for forefoot deformities, but direct non-inferiority comparisons for floating toe are limited.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * 18 years old, minimum * ability to understand treatment and recovery * floating toe Exclusion Criteria: * age less than 18 years old at the moment of recruiting * patients who are not able to understand treatment and recovery * intraoperative diagnosis of plantar plate injury grade 0, I or IV in Nery's classification * secondary surgery
Where it's running
-
Hospital de la Santa Creu i Sant Pau
Barcelona, Spain Recruiting
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.