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Trial · NCT07894536

Registered outcomes20

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryChange From Baseline in Maximum Isometric Ankle Dorsiflexion Strength at Each Postoperative Time PointBaseline (within 1 month before surgery) and 3, 6, 12, 24, 36, 48, and 60 months after surgery
Maximal voluntary isometric dorsiflexion strength (MVIC-DF) of the index ankle, measured with a hand-held dynamometer (make-test of 3-5 s performed three times with the participant seated, the knee flexed to 90 degrees and the ankle in neutral; mean of three trials) and normalized to body weight (N/kg). Change is computed as the postoperative value minus the baseline value. The threshold for a clinically meaningful change is 0.77 N/kg (MDC95).
Secondary1-Minute Walk Distance (1MWD) at Each AssessmentBaseline (within 1 month before surgery) and at 3, 6, 12, 24, 36, 48, and 60 months after surgery
Distance walked in 1 minute at habitual pace on a level 20-m straight course with usual footwear and orthosis/assistive device, recorded in meters. Higher values indicate better walking endurance. The 1-minute walk test shows good test-retest reliability and strong concurrent validity with the 6-minute walk test.
Secondary10-Meter Walk Test at Comfortable Speed (10MWT)Baseline (within 1 month before surgery) and at 3, 6, 12, 24, 36, 48, and 60 months after surgery
Gait speed over the central 10 m of a 14-m walkway with 2-m acceleration and deceleration zones, at self-selected comfortable speed, in meters per second; mean of 2 timed trials, usual assistive device permitted and recorded. Higher values indicate better walking speed.
SecondaryActive Ankle Dorsiflexion and Plantarflexion Range of MotionBaseline (within 1 month before surgery) and at 3, 6, 12, 24, 36, 48, and 60 months after surgery
Active ankle dorsiflexion and plantarflexion arc measured with a universal goniometer using bony landmarks (fibular head, lateral malleolus, base of the fifth metatarsal), in degrees; mean of 3 measurements per direction. Higher dorsiflexion values indicate improved active ankle mobility; plantarflexion is reported descriptively.
SecondaryPassive Ankle Dorsiflexion and Plantarflexion Range of MotionBaseline (within 1 month before surgery) and at 3, 6, 12, 24, 36, 48, and 60 months after surgery
Passive ankle dorsiflexion measured with the knee flexed 45 degrees (soleus component) and with the knee extended (gastrocnemius component); passive plantarflexion measured with the participant prone. Universal goniometer with bony landmarks, in degrees; mean of 3 measurements. Higher dorsiflexion values indicate improved passive ankle mobility.
SecondaryCharcot-Marie-Tooth Examination Score Version 2 (CMTESv2)Baseline (within 1 month before surgery) and at 3, 6, 12, 24, 36, 48, and 60 months after surgery
Composite impairment scale with 7 items scored 0-4: sensory symptoms; motor symptoms of legs and arms; pinprick sensibility with Neurotip; vibration with the Rydel-Seiffer graduated 128-Hz tuning fork at the great toe, medial malleolus and tibial tuberosity; MRC-graded leg strength; arm strength of the first dorsal interosseous or abductor pollicis brevis. Total range 0-28; lower scores indicate less impairment.
SecondaryWalk-12 Walking Ability ScaleBaseline (within 1 month before surgery) and at 3, 6, 12, 24, 36, 48, and 60 months after surgeryPatient-reported walking ability during the past month: 12 items rated 0-3 (no difficulty to unable), total 0-36. Higher scores indicate greater perceived walking limitation.
SecondaryFoot and Ankle Disability Index (FADI and FADI-Sport)Baseline (within 1 month before surgery) and at 3, 6, 12, 24, 36, 48, and 60 months after surgery
Foot- and ankle-specific patient-reported function: 26 items (8 pain, 18 function) converted to a percentage of the maximum possible score (0-100); FADI-Sport adds 8 sport-activity items converted the same way. Higher scores indicate better function.
SecondarySF-12 Physical and Mental Component Summary Scores (PCS and MCS)Baseline (within 1 month before surgery) and at 3, 6, 12, 24, 36, 48, and 60 months after surgery
Generic health-related quality of life from the 12-item Short Form Survey, aggregated into physical (PCS) and mental (MCS) component summary scores, norm-based to a mean of 50 (SD 10); validated Chinese version used. Higher scores indicate better quality of life.
SecondaryFoot and Ankle Pain on the Numeric Rating Scale (NRS)Baseline (within 1 month before surgery) and at 3, 6, 12, 24, 36, 48, and 60 months after surgery
Average foot-ankle pain during the past week rated 0-10 (0 = no pain, 10 = worst imaginable pain) for rest, night and activity, one item each; analyzed as continuous scores. Lower values indicate less pain.
SecondaryBalance and Falls: Timed Up-and-Go, Single-Leg Stance, and Falls CountBaseline (within 1 month before surgery) and at 3, 6, 12, 24, 36, 48, and 60 months after surgery
Timed up-and-go (TUG): time to rise from a chair, walk 3 m, return and sit down, in seconds, usual assistive device permitted; single-leg stance: maximum hold up to 30 seconds; falls: number of unintentional grounding events during the past 6 months. Lower or fewer values indicate better balance and fewer falls.
SecondarySensory Function: Rydel-Seiffer Vibration and Semmes-Weinstein MonofilamentBaseline (within 1 month before surgery) and at 3, 6, 12, 24, 36, 48, and 60 months after surgery
Vibration sense tested with the Rydel-Seiffer graduated 128-Hz tuning fork at the dorsal great toe interphalangeal joint and the medial malleolus, graded 0-8 (higher = better); light touch-pressure tested with the 10-g Semmes-Weinstein monofilament at 3 standard plantar sites (perceived or not perceived).
SecondaryFatigue Severity Scale (FSS)Baseline (within 1 month before surgery) and at 3, 6, 12, 24, 36, 48, and 60 months after surgerySelf-reported fatigue: 9 items rated 1-7, reported as the mean score. Higher values indicate more severe fatigue.
SecondaryMuscle Cramp Frequency (4-Week Diary)Baseline (within 1 month before surgery) and at 3, 6, 12, 24, 36, 48, and 60 months after surgeryProspective 4-week diary recording cramp episodes per week, anatomical distribution and presence of night cramps (yes/no). Lower frequency indicates fewer cramps.
SecondaryAnkle-Foot Orthosis (AFO) Use and DependenceBaseline (within 1 month before surgery) and at 3, 6, 12, 24, 36, 48, and 60 months after surgery
From a 7-day diary: type of orthosis, mean daily wear hours and percentage of walking episodes with the AFO. Reported descriptively; a postoperative reduction in orthosis dependence with maintained function is expected.
SecondaryPlantar and Dorsal Calluses and FissuresBaseline (within 1 month before surgery) and at 3, 6, 12, 24, 36, 48, and 60 months after surgeryClinical inspection counting callosities and fissures on the plantar and dorsal foot using a standardized body map. Lower counts indicate less deformity-related skin burden.
SecondaryWeight-Bearing Radiographic Deformity Angles (Meary, Hibbs, Calcaneal Pitch)Baseline and 12 months after surgery
Standardized weight-bearing anteroposterior and lateral foot radiographs (plus Saltzman hindfoot view as routine care): Meary angle (talo-first metatarsal), Hibbs angle (calcaneus-first metatarsal) and calcaneal pitch, in degrees, described against normal values.
SecondaryEmotional Distress Screen (PHQ-4)Baseline (within 1 month before surgery) and at 3, 6, 12, 24, 36, 48, and 60 months after surgery4-item Patient Health Questionnaire combining 2 anxiety (GAD) and 2 depression (PHQ) items, total 0-12. Lower scores indicate less anxiety and depressive distress.
OtherChange in Fat Fraction of the Transferred Donor Muscle(s) at 12 Months (Optional MRI Sub-study)Baseline and 12 months after surgery
Repeat Dixon MRI of the index limb at 12 months with the identical acquisition and region-of-interest protocol; proton density fat fraction (%) of the transferred donor muscle(s) is compared with baseline to characterize donor-muscle remodeling after transfer. Optional sub-study with separate consent.
OtherIncidence of Surgical and Study-Related Complications up to 60 MonthsFrom surgery to 60 months postoperatively
Wound dehiscence or infection (superficial/deep), sural or other nerve injury, deep vein thrombosis, complex regional pain syndrome, hardware irritation, over- or under-correction requiring revision, and reoperation; each event graded mild, moderate or severe and summarized as incidences with Clopper-Pearson 95% confidence intervals.

Source ClinicalTrials.govtrials-2026-11-12-0.5.0

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

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