Text Size

Gait Analysis of Ankle Arthroplasty and Arthrodesis

This study is currently recruiting participants.
Verified July 2009 by St. Michael's Hospital, Toronto
Sponsor:
Collaborator:
Johnson & Johnson
Information provided by (Responsible Party):
St. Michael's Hospital, Toronto
ClinicalTrials.gov Identifier:
NCT00921076
First received: June 15, 2009
Last updated: December 12, 2012
Last verified: July 2009
History of Changes
  Purpose

Surgical options for managing hindfoot arthritis include: joint fusion, total ankle joint replacement or osteotomies (realignment) of bones. Fusion of arthritic hindfoot joints has been the accepted method of managing hindfoot arthritis for over a century. Recently, total ankle replacement has evolved as a treatment option for patients with end stage ankle arthritis. A comparison of gait for patients before and after hindfoot fusion or total ankle replacement will give further information about the outcome of this treatment. The principal aim of this project is to assess the effect of total ankle replacement or hindfoot fusion on gait. We are also interested in the outcome of the surgery and its effect on your symptoms (eg. pain and mobility). The results of this study will aid researchers in assessing this new treatment modality. Your involvement in this study is critical for the researchers to further analyze this new form of treatment and your time and involvement is appreciated.


Condition Intervention Phase
Ankle Arthritis
 Behavioral: Gait Analysis
 Phase 4

Study Type: Interventional
Study Design: Allocation: Non-Randomized
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: Gait Analysis of Patients Undergoing Total Ankle Arthroplasty, Ankle Arthrodesis, Tibiotalocalcaneal or Pantalar Fusion.

Further study details as provided by St. Michael's Hospital, Toronto:

Primary Outcome Measures:
  • The primary outcome measure will be micro motion, consisting of component migration and rotation relative to the talus and distal tibia. This will be measured utilizing RSA with bi-planar stereo X-rays taken at several intervals: before weight bearing is [ Time Frame: 12 months ] [ Designated as safety issue: No ]

Estimated Enrollment: 200
Study Start Date: June 2002
Estimated Primary Completion Date: January 2014 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Active Comparator: Ankle Arthoplasty
Patients will undergo a Total Ankle Replacement procedure
 Behavioral: Gait Analysis
A computerized motion analysis system to observe the effect of ankle arthroplasty versus ankle arthrodesis on the kinematic behaviour of the foot and ankle during gait.
Active Comparator: Ankle fusion
Patients will undergo an Ankle Arthrodesis procedure
 Behavioral: Gait Analysis
A computerized motion analysis system to observe the effect of ankle arthroplasty versus ankle arthrodesis on the kinematic behaviour of the foot and ankle during gait.

  Eligibility

Ages Eligible for Study:   40 Years to 85 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  1. Symptomatic Ankle Arthritis
  2. Skeletal maturity
  3. Able to give informed consent

Exclusion Criteria:

  1. Avascular Necrosis of Talus
  2. Obesity (BMI >30)
  3. Prior Ankle fusion or arthroplasty
  4. Active or prior infection within 12 months
  5. Medical condition precluding major surgery
  6. Severe ipsilateral mid or hind foot deformity
  7. Severe osteoporotic or osteopenic bone
  8. Neuromuscular impairment
  9. Age less than 40 years old
  10. Cognitive or psychiatric impairment prohibiting accurate follow-up
  11. Pregnancy
  12. Workers compensation board patients
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00921076

Contacts
Contact: Timothy R. Danielst, MD 416-864-6060 ext 5392 danielst@smh.ca
Contact: Ryan M. Khan, BA, CCRP 416-864-6060 ext 3890 khanry@smh.ca

Locations
Canada, Ontario
St. Michael's Hospital Recruiting
Toronto, Ontario, Canada, M5B 1W8
Principal Investigator: Timothy R. Daniels, MD            
Sponsors and Collaborators
St. Michael's Hospital, Toronto
Johnson & Johnson
Investigators
Principal Investigator: Timothy R. Daniels, MD St. Michael's Hospital, Toronto
  More Information

No publications provided

Responsible Party: St. Michael's Hospital, Toronto
ClinicalTrials.gov Identifier: NCT00921076     History of Changes
Other Study ID Numbers: SMH 02-035
Study First Received: June 15, 2009
Last Updated: December 12, 2012
Health Authority: Canada: Health Canada

Additional relevant MeSH terms:
Arthritis
Joint Diseases
Musculoskeletal Diseases

ClinicalTrials.gov processed this record on May 16, 2013