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Allograft Transplantation in the Treatment of Osteoarthritis of the Metatarsophalangeal (MTP) Joint of the Great Toe (MTP)

This study has been completed.
Sponsor:
Collaborator:
Musculoskeletal Transplant Foundation
Information provided by (Responsible Party):
Paul Fortin, MD, William Beaumont Hospitals
ClinicalTrials.gov Identifier:
NCT01673347
First received: August 14, 2012
Last updated: April 19, 2017
Last verified: April 2017
  Purpose
Using the concept of an implant acting as a spacer and stabilizer, the proposed study will evaluate the use of allograft knee meniscus in the treatment of MTP joint osteoarthritis of the great toe.

Condition Intervention Phase
Osteoarthritis Biological: Meniscal Allograft Phase 3

Study Type: Interventional
Study Design: Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Allograft Knee Meniscal Transplantation in the Treatment of Osteoarthritis of the Metatarsophalangeal (MTP) Joint of the Great Toe

Resource links provided by NLM:


Further study details as provided by Paul Fortin, MD, William Beaumont Hospitals:

Primary Outcome Measures:
  • Allograft Stability [ Time Frame: 5-years postoperative ]
    Evaluation of the MTP joint space as determined by radiographic imaging. Count of participants maintaining adequate spacing and alignment as evaluated by the surgeon.


Secondary Outcome Measures:
  • Pain [ Time Frame: 3-months postoperative ]
    Pain scored on Visual Analog Scale 0-10; 0 = no pain, 10 = worst pain

  • Range of Motion Plantarflexion [ Time Frame: 3-months postoperative ]
    Range of Motion Plantarflexion

  • Range of Motion Dorsiflexion [ Time Frame: 3-months postoperative ]
    Range of Motion Dorsiflexion


Enrollment: 24
Actual Study Start Date: September 2010
Study Completion Date: March 10, 2017
Primary Completion Date: May 2014 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: MENISCAL ALLOGRAFT
The meniscal allograft is taken from the meniscal knee joint and implanted surgically in to the great toe.
Biological: Meniscal Allograft
Meniscal allograft
Other Names:
  • Musculoskeletal Transplant Foundation
  • Meniscal transplant

Detailed Description:
A variety of surgical procedures have been developed for the treatment of MTP joint osteoarthritis of the great toe. Using the concept of an implant acting as a spacer and stabilizer, the proposed study will evaluate the use of allograft knee meniscus in the treatment of MTP joint osteoarthritis of the great toe. Patients will be evaluated for pain and range of motion at 3-months, 6-months, 1-year, 2-years, 3-years, 4-years, and 5-years postoperatively or until allograft failure. Stability of the allograft will be evaluated by the surgeon at these time points per radiographic imaging.
  Eligibility

Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • symptomatic of stage 3 osteoarthritis of the great toe
  • symptoms recalcitrant to nonoperative management as determined clinically by the principal investigator

Exclusion Criteria:

  • diabetes mellitus
  • kidney insufficiency
  • oa in the adjacent joints
  • malignancy with in the past 10 yrs
  • minors (< 18 yrs of age)
  • pregnant women and fetus
  • mentally disabled or cognitively impaired individuals
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01673347

Locations
United States, Michigan
William Beaumont Hospital
Royal Oak, Michigan, United States, 48073
Sponsors and Collaborators
Paul Fortin, MD
Musculoskeletal Transplant Foundation
Investigators
Principal Investigator: PAUL FORTIN, MD WILLIAM BEAUMONT HOSPITAL ROYAL OAK
  More Information

Additional Information:
Publications:
Responsible Party: Paul Fortin, MD, Orthopedic Surgeon, William Beaumont Hospitals
ClinicalTrials.gov Identifier: NCT01673347     History of Changes
Other Study ID Numbers: 2010-182
ISO 13485 ( Other Identifier: MUSCULOSKELETAL TRANSPLANT FOUNDATION )
Study First Received: August 14, 2012
Results First Received: April 19, 2017
Last Updated: April 19, 2017
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

Studies a U.S. FDA-regulated Drug Product: Yes
Studies a U.S. FDA-regulated Device Product: No

Keywords provided by Paul Fortin, MD, William Beaumont Hospitals:
allograft
great toe

Additional relevant MeSH terms:
Osteoarthritis
Arthritis
Joint Diseases
Musculoskeletal Diseases
Rheumatic Diseases

ClinicalTrials.gov processed this record on September 20, 2017