Internal Brace Augmented Anterior Inferior Tibiofibular Ligament Repair: Post-operative Syndesmotic Volumes.

Sponsor
Vann Virginia Center for Orthopaedics dba Atlantic Orthopaedic Specialists (Other)
Overall Status
Recruiting
CT.gov ID
NCT05062265
Collaborator
Arthrex, Inc. (Industry)
20
1
2
12
1.7

Study Details

Study Description

Brief Summary

Over the course of a year from the start of the research study, twenty subjects will be randomized evenly into one of two groups after an informed consent is obtained: a traditional tight rope fixation group or a tight rope fixation with an anterior inferior tibiofibular ligament (AITFL) repair augmentation with an internal brace group. Subjects in both groups will acquire a bilateral WBCT pre-operatively and 6 weeks post-operatively at Atlantic Orthopaedic Specialists office. A within group statistical analyses will compare the volume of the syndesmosis acquired by the WBCT at 6 weeks.

Condition or Disease Intervention/Treatment Phase
  • Device: Tight rope fixation
  • Device: Tight rope fixation with an anterior inferior tibiofibular ligament (AITFL) repair augmentation with an internal brace
N/A

Study Design

Study Type:
Interventional
Anticipated Enrollment :
20 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary Purpose:
Treatment
Official Title:
Internal Brace Augmented Anterior Inferior Tibiofibular Ligament Repair and Its Post-operative Effects on Syndesmotic Volumes: A Prospective, Single-blinded, Randomized Study
Actual Study Start Date :
Jan 31, 2022
Anticipated Primary Completion Date :
Dec 31, 2022
Anticipated Study Completion Date :
Feb 1, 2023

Arms and Interventions

Arm Intervention/Treatment
Active Comparator: Tight Rope Fixation

Device: Tight rope fixation
a traditional tight rope fixation is performed on one randomized set of subjects

Active Comparator: tight rope fixation w/ AITFL repair augmentation with an internal brace

Device: Tight rope fixation with an anterior inferior tibiofibular ligament (AITFL) repair augmentation with an internal brace
A tight rope fixation with an anterior inferior tibiofibular ligament (AITFL) repair augmentation with an internal brace set of subjects to compare syndesmotic volume

Outcome Measures

Primary Outcome Measures

  1. Syndesmotic volume [preoperative volume]

    use of weight-bearing CT scan to measure

  2. Syndesomotic Volume [6 weeks post-operative volume]

    use of weight-bearing CT scan to measure

  3. Syndesomotic Volume [3 months post-operative volume]

    use of weight-bearing CT scan to measure

Secondary Outcome Measures

  1. 36-Item Short Form Survey [preoperative]

    The SF-36 is a health-related quality-of-life questionnaire consisting of 36 questions that measure eight health domains to assess physical and mental health. Scores are 00-100. Higher scores equate to better quality of life and inverse for lower scores.

  2. 36-Item Short Form Survey [6 weeks post-operative]

    The SF-36 is a health-related quality-of-life questionnaire consisting of 36 questions that measure eight health domains to assess physical and mental health. Scores are 00-100. Higher scores equate to better quality of life and inverse for lower scores.

  3. 36-Item Short Form Survey [3 months post-operative]

    The SF-36 is a health-related quality-of-life questionnaire consisting of 36 questions that measure eight health domains to assess physical and mental health. Scores are 00-100. Higher scores equate to better quality of life and inverse for lower scores.

  4. 36-Item Short Form Survey [6 months post-operative]

    The SF-36 is a health-related quality-of-life questionnaire consisting of 36 questions that measure eight health domains to assess physical and mental health. Scores are 00-100. Higher scores equate to better quality of life and inverse for lower scores.

  5. Foot and Ankle Outcome Score (FAOS) [preoperative]

    FAOS consists of 5 subscales; Pain, other Symptoms, Function in daily living (ADL), Function in sport and recreation (Sport(Rec), and foot and ankle-related Quality of Life (QOL). The last week is taken into consideration when answering the questionnaire. Standardized answer options are given (% Likert boxes) and each question gets a score from 0 to 4. A normalized score (100 indicating no symptoms and 0 indicating extreme symptoms) is calculated for each subscale. The result can be plotted as an outcome profile.

  6. Foot and Ankle Outcome Score (FAOS) [6weeks post-operative]

    FAOS consists of 5 subscales; Pain, other Symptoms, Function in daily living (ADL), Function in sport and recreation (Sport(Rec), and foot and ankle-related Quality of Life (QOL). The last week is taken into consideration when answering the questionnaire. Standardized answer options are given (% Likert boxes) and each question gets a score from 0 to 4. A normalized score (100 indicating no symptoms and 0 indicating extreme symptoms) is calculated for each subscale. The result can be plotted as an outcome profile.

  7. Foot and Ankle Outcome Score (FAOS) [3month post-operative]

    FAOS consists of 5 subscales; Pain, other Symptoms, Function in daily living (ADL), Function in sport and recreation (Sport(Rec), and foot and ankle-related Quality of Life (QOL). The last week is taken into consideration when answering the questionnaire. Standardized answer options are given (% Likert boxes) and each question gets a score from 0 to 4. A normalized score (100 indicating no symptoms and 0 indicating extreme symptoms) is calculated for each subscale. The result can be plotted as an outcome profile.

  8. Foot and Ankle Outcome Score (FAOS) [6month post-operative]

    FAOS consists of 5 subscales; Pain, other Symptoms, Function in daily living (ADL), Function in sport and recreation (Sport(Rec), and foot and ankle-related Quality of Life (QOL). The last week is taken into consideration when answering the questionnaire. Standardized answer options are given (% Likert boxes) and each question gets a score from 0 to 4. A normalized score (100 indicating no symptoms and 0 indicating extreme symptoms) is calculated for each subscale. The result can be plotted as an outcome profile.

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years to 80 Years
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
Yes
Inclusion Criteria:
  • patients who fit the study injury list
Exclusion Criteria:
  • smokers

  • prior surgery on ankle

  • bi-lateral surgery

  • recent participation in another study within the last 90days

Contacts and Locations

Locations

Site City State Country Postal Code
1 Atlantic Orthopaedic Specialists Virginia Beach Virginia United States 23456

Sponsors and Collaborators

  • Vann Virginia Center for Orthopaedics dba Atlantic Orthopaedic Specialists
  • Arthrex, Inc.

Investigators

  • Principal Investigator: Blake E Moore, MD, Vann Virginia Center for Orthopaedics dba Atlantic Orthopaedic Specialists
  • Study Chair: Ashley Suttmiller, PhD, Clinical Researcher
  • Study Director: Brice A Snyder, MSAT, Director of Clinical Research

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Blake E. Moore, MD, Principal Investigator, Vann Virginia Center for Orthopaedics dba Atlantic Orthopaedic Specialists
ClinicalTrials.gov Identifier:
NCT05062265
Other Study ID Numbers:
  • AOS-0001
First Posted:
Sep 30, 2021
Last Update Posted:
Mar 4, 2022
Last Verified:
Feb 1, 2022
Individual Participant Data (IPD) Sharing Statement:
No
Plan to Share IPD:
No
Studies a U.S. FDA-regulated Drug Product:
No
Studies a U.S. FDA-regulated Device Product:
Yes
Product Manufactured in and Exported from the U.S.:
Yes
Additional relevant MeSH terms:

Study Results

No Results Posted as of Mar 4, 2022