Ankle Injuries
Conditions
Keywords
ligamentoplasty, ankle-go test, sport return
Brief summary
Ankle sprain is one of the most common pathologies in the general population (between 2.1 and 3.2 per 1000 patients per year). Nearly 40% of patients will develop chronic instability in the year following the sprain. We also know that a premature return to sport is a risk factor for developing chronic instability. However, despite the consensus of experts on the subject which have shown the key physiological elements to evaluate before resuming sport, no test or cohort of tests are proposed to allow a safe return to sport by reducing the risks of relapse. Some very recent studies have appeared on non-operated subjects but this remains a subject that is still too little studied, where the lack of consensus and objective criteria increases the risk of instability. Surgical treatment remains an effective option to reduce the risk of recurrence but failure of the latter can occur in approximately 13-37% of patients depending on the population, due to a relapse or a return to sport which does not correspond to expectations. of the patient. The objective of the study is therefore to evaluate the predictive nature of a composite test (ANKLE-GO) regarding the return to sport at the same level and the risks of recurrence.
Interventions
OTHERPersonnalized physiotherapy
Following completion of the ankle go test, patients in "experimental" group will receive specific instructions for continuing their rehabilitation, which will be passed on to the physiotherapist responsible for the rehabilitation.
OTHERUsual physiotherapy
Following completion of the ankle go test, patients in "active comparator" group will receive usual physiotherapy
Sponsors
Clinique du Sport, Bordeaux Mérignac
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 50 Years
Healthy volunteers
No
Inclusion criteria
* Patient with objective chronic ankle instability who has failed medical treatment and undergone lateral ankle ligament repair surgery * Patient practicing a sporting activity at least 2 times a week * Patient able to read, write and understand French * Patient affiliated to a social security scheme
Exclusion criteria
* Minor or over 50 years of age * Pregnant or breast-feeding patient * Patient under guardianship, deprived of liberty or under court protection * Refusal to participate in research * Patient unable to understand or give informed consent * Patient having undergone associated surgical procedures modifying the postoperative course * Patient having undergone revision surgery
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| 1-year post-surgery return to sport : Tegner questionnaire | before surgery (anterior practice) and year 1 | evaluation of sport practice level with Tegner questionnaire : Likert scale from 0 (professionnal disability) to 10 (professionnal sport) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Sports level at 1 year post-surgery compared with previous level | Year 1 | Questionnaire "yes/no" |
| Number of hours of sport per week | before surgery (anterior practice) and year 1 | Self administered questionnaire |
| Ankle instability scale (FAAM questionnaire : Foot and Ankle Ability Measure) | before surgery (anterior practice) and month 3 | self-administered questionnaire to measure patients' functional progress. It comprises two subscales: a 21-item daily activity subscale, and an 8-item sports subscale. For each subscale, each item is rated on a Likert scale from 0 to 4. |
| Pain: EVA analog scale | month 1, month 3, month 6, year 1 | EVA scale from 0 (no pain) to 10 (maximal possible pain) |
Countries
France
Contacts
CONTACTGuillaume Cordier, MD
PRINCIPAL_INVESTIGATORGuillaume Cordier, MD
Clinique du sport
Outcome results
None listed