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 .