Osteochondritis Dissecans of Ankle and Joints of Foot
Conditions
Brief summary
The rationale for this research study is to evaluate the effect on clinical outcomes of weight bearing as tolerated after forage surgery for the treatment of osteochondral defects of the ankle, thus potentially eliminating the need for a period of immobilisation or non-weight bearing after surgery. The investigators hypothesize that their will be no difference in functional outcomes between weight bearing as tolerated as compared to non-weight bearing for six weeks after forage surgery for OCD of the ankle.
Detailed description
The hypothesis for advantage of the investigational post-operative therapy is based on: Equivalent clinical outcomes to non-weight bearing; Similar radiographic findings on CT at follow-up visit between the two groups; reduced morbidity and disability to subjects through elimination of a period of non-weight bearing; reduction of cost to patients by eliminating need for adjuvant walking and mobility aids (crutches, taxis) and time off work.
Interventions
WBAT immediately after surgery
Sponsors
Nova Scotia Health Authority
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
16 Years to 65 Years
Healthy volunteers
Yes
Inclusion criteria
* Patients aged 16-60 years * No prior ankle surgery * Able and willing to comply with follow-up * Capable of provide informed consent * Medically fit for surgery * Lesions on preoperative CT Scan \< 1.5cm * Symptomatic (ie:pain, restricted activities, inability to WB, decreased ROM) * Single Isolated lesion * Failure of conservative treatment (3 months of limited activities and/or weight bearing and/or immobilization)
Exclusion criteria
Age less than 16 years or greater than 60 years * Inflammatory arthritis * Diffuse osteoarthritis of affected joint * Associated fracture * Prior ankle surgery for current injury (including arthroscopy) * Unable to comply with follow-up * Unable to provide informed consent * Bernt & Hardy class IV (amenable to ORIF) * Multiple osteochondral defects in one ankle or touching osteochondral lesions of tibia and talus * Prior osteochondral defects of the affected ankle
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Ankle Osteoarthritis Scale | 12 months | Pain and disability outcomes assessed on scale of 1-100. The higher the score is more pain\\disability |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| CAT Scan | 12months | For assessment of cartilage healing |
Countries
Canada
Outcome results
None listed