ClinicalTrials.gg
RecruitingNCT06519175REMEDIA-IUpdated Dec 26, 2025

Study of Infantile Lower Limb Malformations and Deformities

An observational study in Deformity of Limb, sponsored by Istituto Ortopedico Rizzoli. Recruiting at 7 sites in Italy. Open to participants aged Up to 18 Years. Per ClinicalTrials.gov, last updated 2025-12-26.

Sponsored by Istituto Ortopedico Rizzoli · Observational

From the registry’s dates

  • Started Oct 2024; still recruiting 2 years later.
Study type
Observational
Model
Cohort
Time perspective
Other
Enrollment
1,000
Ages
Up to 18 Years
Sex
All
01

Study summary

The skeletal defects of the lower limbs in pediatric age encompass various congenital and acquired conditions that alter bone structure. These alterations can be symmetrical or asymmetrical, with potential consequences such as deformities, short stature, and disability. These condictions may impact not only on the physical and the mental function of the children, but also on their family context.

Management often requires a multidisciplinary approach for early diagnosis and treatment. Deformities are heterogeneous and necessitate a personalized therapeutic plan.

Currently, in pediatric orthopedic surgery there is a lack of an instrument capable of evaluating all these aspects.

The advancement of computer-assisted surgery and artificial intelligence could improve treatment customization and involve patients and families in therapeutic decision-making to prevent complications. This study aims to provide support for clinical practice to promote a systematic, comprehensive, and sequential evaluation of lower limb deformities in developmental age, from which epidemiological data and evidence on treatment approaches used in major referral centers can be extrapolated.

02

Conditions studied

  • Deformity of Limb

Keywords

  • Pediatric orthopedics
  • Deformity
  • Patient Reported Outcomes
03

In context

Congenital Abnormalities

781 studies on the registry are indexed under Congenital Abnormalities; 77 are open to participants now.

This study's planned enrollment of 1,000 is above the median of 250 across 257 observational studies indexed under Congenital Abnormalities.

Browse Congenital Abnormalities studies →

Lead sponsor

Istituto Ortopedico Rizzoli is the lead sponsor of 304 studies on the registry; 103 are open to participants now.

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

04

Who can participate

Ages eligible
Up to 18 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients with congenital or acquired deformity of one or both lower limb diagnosed before skeletal maturity.

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

  • Age \< 18 years at the time of initial orthopedic evaluation
  • Diagnosis of congenital or acquired musculoskeletal deformity to one or both lower limbs
  • Presence of to participate in the study

Exclusion criteria

Exclusion Criteria:

  • Refuse to participate in the study by the patient or parent/legal guardian
  • Patients with mild paramorphisms not associated with functional limitations
Terms in these criteria, in plain language(1)

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.

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.

05

Study design

Observational model
Cohort
Time perspective
Other
Enrollment
1,000 participants (estimated)
Patient registry
No

Groups and cohorts

  • Children and adolescent with lower limb deformities

    Other: Conservative treatment · Procedure: Single or multi-stage surgery · Procedure: Amputation

Interventions

  • OtherConservative treatment

    Patients are provided with physiotherapy support and the provision of prostheses with the goal of ensuring as much walking functionality as possible.

  • ProcedureSingle or multi-stage surgery

    Correction of the deformity is pursued by one or more surgical procedures with the timing and the techniques (growth modulation, acute correction, gradual correction, soft tissues procedures, combined techniques) chosen according to the surgeon's preference to achieve the maximum possible walking functionality without orthopedic aids.

  • ProcedureAmputation

    Limb surgery, whether or not associated with realignment or soft-tissue surgery, is performed, aimed at providing the maximum possible walking function through a prosthesis.

06

What researchers measure

Primary outcomes

  1. Pediatric Outcomes Data Collection Instrument

    The scores, reported by the child and the caregiver, on the items of the questionnaire, which includes upper extremity (UE), transfer/basic mobility (TBM), happiness (Hap), sports/physical function (SPF), pain/comfort (PC)

    Time frame: At baseline (day 0)

  2. Pediatric Outcomes Data Collection Instrument

    The scores, reported by the child and the caregiver, on the items of the questionnaire, which includes upper extremity (UE), transfer/basic mobility (TBM), happiness (Hap), sports/physical function (SPF), pain/comfort (PC)

    Time frame: After 1 year

  3. Clinical examination with complete assessment of lower limbs

    Full assessment of parameters about lower limb alignment

    Time frame: At baseline (day 0)

  4. Clinical examination with complete assessment of lower limbs

    Full assessment of parameters about lower limb alignment

    Time frame: After 1 year

  5. Mental Health

    The Short Form (36) Health Survey is a 36-item, patient-reported survey of patient health.

    Time frame: At baseline (day 0)

  6. Mental Health

    The Short Form (36) Health Survey is a 36-item, patient-reported survey of patient health.

    Time frame: After 1 year

07

Study locations

1 of 7 sites recruiting
08

References and documents

Publications

  • Herring J, Tachdjian's Pediatric Orthopaedics: From the Texas Scottish Rite Hospital for Children, 6th edition. Elsevier, 2020.
  • Sabharwal S. Pediatric Lower Limb Deformities: Principles and Techniques of Management. Springer 2015.
  • Gupta P, Gupta V, Patil B, Verma V. Angular deformities of lower limb in children: Correction for whom, when and how? J Clin Orthop Trauma. 2020 Mar-Apr;11(2):196-201. doi: 10.1016/j.jcot.2020.01.008. Epub 2020 Jan 27. PubMed 32099279 ↗
  • Chhina H, Klassen AF, Kopec JA, Oliffe J, Iobst C, Dahan-Oliel N, Aggarwal A, Nunn T, Cooper AP. What matters to children with lower limb deformities: an international qualitative study guiding the development of a new patient-reported outcome measure. J Patient Rep Outcomes. 2021 Apr 1;5(1):30. doi: 10.1186/s41687-021-00299-w. PubMed 33792793 ↗
  • Iobst C. Limb lengthening combined with deformity correction in children with the Taylor Spatial Frame. J Pediatr Orthop B. 2010 Nov;19(6):529-34. doi: 10.1097/BPB.0b013e32833dec43. PubMed 20739904 ↗
  • Frizziero L, Santi GM, Liverani A, Napolitano F, Papaleo P, Maredi E, Gennaro GLD, Zarantonello P, Stallone S, Stilli S, et al. Computer-Aided Surgical Simulation for Correcting Complex Limb Deformities in Children. Applied Sciences. 2020; 10(15):5181.
  • Blobel B, Ruotsalainen P, Oemig F, Giacomini M, Sottile PA, Endsleff F. Principles and Standards for Designing and Managing Integrable and Interoperable Transformed Health Ecosystems. J Pers Med. 2023 Nov 4;13(11):1579. doi: 10.3390/jpm13111579. PubMed 38003894 ↗
  • Stuberg W, Temme J, Kaplan P, Clarke A, Fuchs R. Measurement of tibial torsion and thigh-foot angle using goniometry and computed tomography. Clin Orthop Relat Res. 1991 Nov;(272):208-12. PubMed 1934735 ↗
  • Beighton P, Horan F. Orthopaedic aspects of the Ehlers-Danlos syndrome. J Bone Joint Surg Br. 1969 Aug;51(3):444-53. No abstract available. PubMed 5820785 ↗
  • Dodwell ER, Pathy R, Widmann RF, Green DW, Scher DM, Blanco JS, Doyle SM, Daluiski A, Sink EL. Reliability of the Modified Clavien-Dindo-Sink Complication Classification System in Pediatric Orthopaedic Surgery. JB JS Open Access. 2018 Oct 23;3(4):e0020. doi: 10.2106/JBJS.OA.18.00020. eCollection 2018 Dec 20. PubMed 30882054 ↗
  • Harris PA, Taylor R, Minor BL, Elliott V, Fernandez M, O'Neal L, McLeod L, Delacqua G, Delacqua F, Kirby J, Duda SN; REDCap Consortium. The REDCap consortium: Building an international community of software platform partners. J Biomed Inform. 2019 Jul;95:103208. doi: 10.1016/j.jbi.2019.103208. Epub 2019 May 9. PubMed 31078660 ↗

Individual participant data

Plan to share: Undecided

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Oct 2024 (actual). Primary completion is estimated for May 2028, 43 months after the start.

Of 75 non-industry observational studies under Congenital Abnormalities, half reached primary completion within 83 months of starting (the median), counting those still running; a quarter within 32 and three quarters within 270. This study's planned 43 months is below that.

Counting every sponsor, half of 97 studies reached it within 49 months; a quarter within 23 and three quarters within 193.

How these figures are worked out, and which studies are left out of them.

Registered
May 6, 2024
First posted
Jul 25, 2024
StartActual
Oct 31, 2024
Primary completionEst.
May 2028
CompletionEst.
May 2029
Last update
Dec 26, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Dec 26, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06519175
Collaborators
Ospedale Pediatrico Bambino Gesù, Istituto Giannina Gaslini, Galeazzi Orthopedic Institute, Istituto Nazionale Tumori Regina Elena, Policlinico San Matteo, Istituto Clinico Humanitas
Responsible party
Sponsor
First posted
Jul 25, 2024
Start date
Oct 31, 2024
Primary completion
May 2028 (estimated)
Completion
May 2029 (estimated)
Last update
Dec 26, 2025

Study contacts

Giovanni Trisolino, MD
Contact
giovanni.trisolino@ior.it
0516366 ext. 484
Alessandro Depaoli, MD
Contact
alessandro.depaoli@ior.it
Pierfrancesco Costici, MD
principal investigator · Ospedale Pediatrico Bambin Gesù
Giorgio Marrè Brunenghi, MD
principal investigator · Istituto Giannina Gaslini
Fabio Verdoni, MD
principal investigator · Galeazzi Orthopedic Institute
Roberto Biagini, MD
principal investigator · Istituto Nazionale Tumori Regina Elena
Gianluigi Pasta, MD
principal investigator · Policlinico San Matteo
Tommaso Bonanzinga, MD
principal investigator · Istituto Clinico Humanitas

Oversight

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

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