ClinicalTrials.gg
RecruitingNCT05587569MTA3DUpdated May 25, 2025

Outcomes Following Combined Adductoplasty™ and Lapiplasty® (MTA3D)

An interventional study of Treatment of metatarsus adductus and hallux valgus with the Adductoplasty™ Procedure in combination with the Lapiplasty® Procedure in Metatarsus Adductus and Hallux Valgus, sponsored by Treace Medical Concepts, Inc.. Recruiting at 9 sites in United States. Open to participants aged 14 Years to 65 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-05-25.

Sponsored by Treace Medical Concepts, Inc. · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Sep 2022; still recruiting 4 years 1 month later.
Phase
Not applicable
Study type
Interventional
Enrollment
80
Allocation
Not applicable
Ages
14 Years to 65 Years
Sex
All
01

Study summary

Prospective, multicenter, unblinded study to evaluate outcomes of the Adductoplasty™ Procedure in combination with the Lapiplasty® Procedure for patients in need of metatarsus adductus and hallux valgus correction.

Up to 80 subjects will be treated in this study at up to 13 clinical sites. Patients 14 years of age or older with symptomatic metatarsus adductus and hallux valgus will be eligible to participate based on the inclusion and exclusion criteria defined in the study protocol.

Read the detailed description

The objectives of this study are to evaluate outcomes of the Adductoplasty™ Procedure combined with the Lapiplasty® Procedure for patients in need of hallux valgus and metatarsus adductus surgery:

  1. To evaluate the quality of life and pain scores following the Adductoplasty™ Procedure in combination with the Lapiplasty® Procedure.
  2. To determine whether the Adductoplasty™ Procedure in combination with the Lapiplasty® Procedure, effectively corrects and maintains triplane anatomical alignment of the 1st, 2nd and 3rd metatarsals, the hallux position, the sesamoid position, and the foot width.
02

Conditions studied

  • Metatarsus Adductus
  • Hallux Valgus

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Keywords

  • Metatarsus Adductus
  • Hallux Valgus
  • MTA3D
03

In context

Hallux Valgus

157 studies on the registry are indexed under Hallux Valgus; 36 are open to participants now.

This study's planned enrollment of 80 is above the median of 58 across 119 interventional studies indexed under Hallux Valgus.

Browse Hallux Valgus studies →

Lead sponsor

Treace Medical Concepts, Inc. is the lead sponsor of 4 studies on the registry; 1 is open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
14 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Male and females ≥14 years old at the time of consent
  2. Closed physeal plates at the time of consent
  3. Intermetatarsal angle is ≥8.0˚; OR True IMA of >10°, (IMA+MTA-15=True IMA)
  4. Hallux valgus angle is ≥12.0˚
  5. Metatarsus adductus angle based on Sgarlatos method ≥15°
  6. Willing and able to adhere to post-op care instructions
  7. Capable of completing self-administered questionnaires
  8. Acceptable surgical candidate, including use of general anesthesia
  9. Female patients must be of non- or have a negative pregnancy test in accordance with hospital standards prior to the Index Procedure
  10. Willing and able to schedule index procedure within 3 months of consent and able to return for scheduled follow-up visits
  11. Willing and able to provide written
  12. Patient agrees to refrain from any reconstructive procedures on contralateral foot for minimum of 6 months post index procedure

Exclusion criteria

Exclusion Criteria:

  1. Previous surgery for hallux valgus on operative side
  2. Previous surgeries on operative foot involving fusion of foot or ankle joints (other than hammertoe, lesser toes/digits, or posterior muscle lengthening)
  3. Moderate-severe osteoarthritis of the foot or ankle outside of the 1st, 2nd or 3rd tarsometatarsal joints
  4. Severe osteoarthritis of the 1st, 2nd or 3rd tarsometatarsal joints
  5. Any deformity of the hindfoot or midfoot that represents a pathological condition that may affect the outcome of the tarsometatarsal realignment, or a condition that requires concomitant surgical correction
  6. >40 kg/m²
  7. Current nicotine user in any form including vaping, smoking, oral ingestion or use of nicotine patch
  8. Current clinical diagnosis of diabetes or currently taking medication for treatment of diabetes
  9. Current clinical diagnosis of peripheral neuropathy
  10. Current clinical diagnosis of fibromyalgia
  11. Current clinical diagnosis of Complex Regional Pain Syndrome/Reflex Sympathetic Dystrophy (CRPS/RSD)
  12. Current uncontrolled hypothyroidism
  13. Current clinical diagnosis of chronic dependent edema
  14. Previously sensitized to titanium
  15. Currently taking oral or rheumatoid biologics
  16. Currently taking drugs
  17. Insufficient quantity or quality of bone to permit stabilization, conditions that inhibit healing (not including pathological fractures) and conditions causing poor blood supply such as peripheral vascular disease
  18. Active, suspected, or latent infection in the affected area
  19. Use of synthetic or allogenic bone graft substitutes
  20. Use of non-Treace products for Index Procedure
  21. Additional bone procedure needed during the index procedure to complete correction [first MTP fusion, calcaneal osteotomy, traditional medial eminence resection, additional metatarsal or tarsal bone osteotomy or fusion (other than Weil osteotomies)];
  22. Scheduled to undergo a same-day bilateral procedure
  23. Patient has previously been enrolled into this study for a contralateral procedure
  24. Scheduled for any concomitant procedure that would alter patient's ability to weight-bear post-procedure
  25. Patient is actively involved with a workman's compensation case or is currently involved in litigation
  26. Patient is currently in, or has participated in, a clinical study in the last 30 days prior to signing or is considering participation in another research protocol during this study. Exceptions to this include survey clinical studies with no treatment or if subject is greater than 12 months post procedure in either the Treace ALIGN3D™ or Mini3D™ Study without ongoing protocol defined AE
  27. Patient has a condition or finding that, in the opinion of the Investigator, may jeopardize the patient's well-being, the soundness of this clinical study, or could interfere with provision of informed consent, completion of tests, therapy, or follow-up
Terms in these criteria, in plain language(5)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
80 participants (estimated)

Interventions

  • DeviceTreatment of metatarsus adductus and hallux valgus with the Adductoplasty™ Procedure in combination with the Lapiplasty® Procedure

    Patients 14 years of age or older with symptomatic metatarsus adductus and hallux valgus will be eligible to participate based on the inclusion/exclusion criteria established in the study protocol. Anticipated study duration will be 5 years post index procedure.

    Also known as: Adductoplasty™ Procedure in combination with the Lapiplasty® Procedure

06

What researchers measure

Primary outcomes

  1. Radiographic recurrence of hallux valgus deformity with metatarsus adductus will be evaluated at 24 months for subjects wtih successful correction

    Successful correction is defined as two of the following three criteria: measured IMA \<9.0°, HVA \<15.0°, and TSP as ≤3 at 6 months post Adductoplasty® Procedure and Lapiplasty® Procedure. Recurrence at 24 months is defined by HVA \>15.0°.

    Time frame: 24 Months

Secondary outcomes

  1. Radiographic Recurrence

    Radiographic recurrence of hallux valgus deformity at 24 months defined by HVA \>20°.

    Time frame: 24 Months

  2. Union vs non-Union

    Evaluate clinical/radiographic healing (union vs non-union). Non-union is defined as pain and lucency at the 1st, 2nd, and/or 3rd TMT joint at 12 months post- Adductoplasty® Procedure and Lapiplasty® Procedure.

    Time frame: 12 Months

  3. Clinical Complications

    Clinical complications due to system implants the post-op instructions or health conditions that could affect other outcome measures.

    Time frame: 60 Months

  4. Weight-Bearing Recovery Time

    Assessment of weight-bearing recovery time following the procedures. Weight-bearing will be measured in days and recorded based upon individual surgeon recovery protocol.

    Time frame: 12 Months

  5. Time to Weight-Bear in Boot

    Time to start of weight-bearing in boot, in days.

    Time frame: 6 Weeks

  6. Time to Weight-Bear in Shoes

    Time to start of weight-bearing in shoes, in days.

    Time frame: 8 Weeks

  7. Time to Return to Unrestricted Activity

    Time to return to full unrestricted activity, in days.

    Time frame: 6 weeks - 6 months, post Lapiplasty® Procedure

  8. Change in Pain

    Change in pain at the base of the big toe (bunion related), as well as the midfoot region for the operative foot only, assessed via the Visual Analog Scale (VAS) with 0-10 minimum and maximum values - with 0 being a better outcome and 10 being a worse outcome.

    Time frame: 0-3 weeks, 6 weeks, 4 months, 6 months, 12 months, 24 months, 36 months, 48 months and 60 months post- Adductoplasty™ Procedure in combination with the Lapiplasty® Procedure, in comparison to baseline visit pain.

  9. Change in Quality of Life

    Change in Quality of Life, (PROMIS-29/PROMIS-25 and MOxFQ) defined as the total domain score measured.

    Time frame: 6 months, 12 months, 24 months, 36 months, 48 months and 60 months post-Adductoplasty™ Procedure and Lapiplasty® Procedure, in comparison to baseline visit

  10. Change in Range of Motion

    Change in Range of Motion - 1st MTP dorsiflexion and plantarflexion

    Time frame: 12 months, 24 months, 36 months, 48 months and 60 months post- Adductoplasty™ Procedure and Lapiplasty® Procedure, in comparison to baseline visit

  11. Change in Osseous Foot Width

    Change in osseous foot width - radiographically

    Time frame: 12 months and 24 months post - Adductoplasty™ Procedure and Lapiplasty® Procedure, in comparison to baseline visit

07

Study locations

9 of 9 sites recruiting
  • Foot and Ankle Center of the Rockies
    Greeley, Colorado 80634, United States
    Recruiting
  • Foot and Ankle Center of Iowa
    Ankeny, Iowa 50023, United States
    Recruiting
    • Mindi Dayton, DPM · Contactmdayton@footanklecenteriowa.com · 515-639-3775
    • Paul Dayton, DPM · Principal investigator
    • Mindi Dayton, DPM · Sub investigator
    • Jesseka Kaldenberg-Leppert, DPM · Sub investigator
  • Coastal Maine Foot and Ankle
    Yarmouth, Maine 04096, United States
    Recruiting
    • Barry White, DPM · ContactFootdocbmw@outlook.com · 207-888-3640
    • Barry White, DPM · Principal investigator
  • JCMG - Jefferson City Medical Group
    Jefferson City, Missouri 65019, United States
    Recruiting
  • Duke Orthopaedics Arringdon
    Morrisville, North Carolina 27560, United States
    Recruiting
  • Ohio Foot and Ankle Center
    Canton, Ohio 44708, United States
    Recruiting
    • Aaron Chokan, DPM · Contactdrchokan@gmail.com · 330-447-4400
    • Aaron Chokan, DPM · Principal investigator
  • Ohio Foot and Ankle Center
    Stow, Ohio 44224, United States
    Recruiting
    • Aaron Chokan, DPM · Contactdrchokan@gmail.com · 330-929-3331
    • Aaron Chokan, DPM · Principal investigator
  • Greater Pittsburgh Foot and Ankle Center
    Wexford, Pennsylvania 15090, United States
    Recruiting
  • Foot and Ankle Associates of North Texas - Keller
    Keller, Texas 76248, United States
    Recruiting
    • Paul Steinke, DPM · Contactsteinke@faant.com · 817-416-6155
    • Paul Steinke, DPM · Principal investigator
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 25, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05587569
Lead sponsor
Treace Medical Concepts, Inc.
Responsible party
Sponsor
First posted
Oct 20, 2022
Start date
Sep 28, 2022
Primary completion
Dec 31, 2026 (estimated)
Completion
Dec 31, 2030 (estimated)
Last update
May 25, 2025

Study contacts

Cara Bethell
Contact
cbethell@treace.net
(904) 373-5940 ext. 1317
Shana Zink
Contact
szink@treace.net
(513) 265-0621
Paul Dayton, DPM
principal investigator · Foot and Ankle Center of Iowa
Mark Easley, MD
principal investigator · Duke University

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

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