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Clinical Trial Details — Status: Not yet recruiting

Administrative data

NCT number NCT05476692
Other study ID # OCD of the talus
Secondary ID
Status Not yet recruiting
Phase
First received
Last updated
Start date October 1, 2022
Est. completion date November 1, 2023

Study information

Verified date July 2022
Source Assiut University
Contact Mena Magdy
Phone 01272640608
Email menamagdy2353794@gmail.com
Is FDA regulated No
Health authority
Study type Observational

Clinical Trial Summary

Assess clinical and radiological outcome of the various surgical techniques for treatment of osteochondral lesions of the talus


Description:

Osteochondritis dissecans (OCD) of the talus is a subchondral bone pathology that presents as an osteochondral lesion of the talar dome with consequent articular cartilage abnormalities. Osteochondral lesions of the talus (OLT) are frequent after acute ankle trauma. The natural history of the OLT remains unclear due to paucity of longitudinal follow-up studies. Various treatment strategies have been described for OLT, including conservative treatment and operative treatment However, the current literature does not allow firm evidence-based recommendations concerning the treatment to be established ; Microfracture is the most common reparative surgery for osteochondral lesions of the talus (OLTs). While shown to be effective in short- to midterm outcomes, the fibrocartilage that microfracture produces is both biomechanically and biologically inferior to that of native hyaline cartilage and is susceptible to possible deterioration over time following repair . Arthroscopic debridement (AD) for the osteochondral lesions of the talar dome (OLT) was widely documented in the nineties with satisfactory results. However, in modern treatment algorithms, its role is not described. A frequently used instrument for assessing outcome after ankle and hindfoot injuries is the American Orthopaedic Foot and Ankle Society (AOFAS) Ankle-Hindfoot Score .


Recruitment information / eligibility

Status Not yet recruiting
Enrollment 40
Est. completion date November 1, 2023
Est. primary completion date October 1, 2023
Accepts healthy volunteers
Gender All
Age group 15 Years to 60 Years
Eligibility Inclusion Criteria: - Age from 15 to 60 years old. - Traumatic and degenerative etiology. - without ankle deformity. - No inflammatory arthritis. - Absent or corrected ligamentous instability Exclusion Criteria: - Older than 60 years old and younger than 15 years old. - Charcot ankle. - Vascular injury.

Study Design


Related Conditions & MeSH terms


Intervention

Other:
AOFAS score and VAS
Clinical outcome by the Visual analogue scale (VAS) and the American Orthopaedic Foot and Ankle (AOFAS) score.

Locations

Country Name City State
n/a

Sponsors (1)

Lead Sponsor Collaborator
Assiut University

Outcome

Type Measure Description Time frame Safety issue
Primary clinical outcome of the various surgical techniques for treatment of osteochondral lesions of the talus clinical outcome of the various surgical techniques for treatment of osteochondral lesions of the talus , Clinical outcome by the AOFAS score ( American Orthopaedic Foot and Ankle Society), the higher score means the better outcome and the lower score means the worse outcome 1 year
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