Gait Pattern Analysis After All Arthroscopic ATFL Repair Surgery

Not Applicable

Recruiting

• Conditions: Gait Analysis; Ankle Lateral Ligament
• Interventions: Procedure: All Arthroscopic ATFL Repair Surgery

• Registration Number: NCT06253624
• Lead Sponsor: Gazi University

Brief Summary

The study will investigate alterations in post-surgical gait patterns among patients who have undergone all arthroscopic repair surgery for the anterior talofibular ligament (ATFL) due to ankle instability. The gait biomechanics of patients scheduled for surgery will be assessed preoperatively using pedobarographic analysis. Subsequent changes in walking biomechanics will be evaluated and interpreted at the 3rd and 6th postoperative months. Consequently, the impact of the all arthroscopic anatomical ATFL repair method on walking will be documented.

Detailed Description

Not available

Study Timeline

• Study Start: 2023-12-01
• Study First Submitted: 2024-02-02
• Study First Submitted QC: 2024-02-02
• Study First Posted: 2024-02-12
• Status Verified: 2024-03
• Last Update Submitted: 2024-03-28
• Last Update Posted: 2024-03-29
• Primary Completion: 2024-12-30
• Study Completion: 2025-06-30

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 25

Inclusion Criteria

• Presence of unilateral ankle instability.
• Planning for all arthroscopic anterior talofibular ligament (ATFL) repair surgery.

Exclusion Criteria

• Presence of foot and ankle deformities.
• Presence of orthopedic or neurological pathologies that may affect walking biomechanics.
• History of prior foot and ankle surgery.
• Assessment of surgical stability deemed unsuccessful at the 3rd or 6th month postoperative control.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
ATFL surgery	All Arthroscopic ATFL Repair Surgery	All participants will undergo all arthroscopic ATFL repair surgery.

Primary Outcome Measures

Name	Time	Method
Pedobarography	6 months after the surgery	Pedobarographic analysis involves the completion of the platform, pressure sensors, software, and computer installation for gait analysis.; In dynamic analysis, the patient takes a step on the platform at a regular walking speed, with arms relaxed at the sides of the body, following a natural gait. In static analysis, measurements are taken while the patient remains stationary on the platform with arms in a free position next to the body. Five measurements are separately recorded for both feet during the step, heel strike, and toe lift phases. These measurements capture the highest pressures on the back of the foot, the middle part of the foot, the inner, middle, lateral side of the front of the foot, and the toes.; The plantar pressure distribution obtained from the measurement is divided into desired areas (masks). The pressure, force, and pressure-time integral corresponding to each area are then used to determine how and for how long these areas are exposed to pressure.

Secondary Outcome Measures

Name	Time	Method
American Orthopedic Foot and Ankle Society Ankle-Hindfoot Scale (AOFAS)	6 months after the surgery	The hindfoot score comprises nine questions that assess pain, function, and alignment. Within the survey, one question pertains to pain, seven questions address function, and one question relates to alignment. The pain section is appraised on a scale of 40 points, the function section on 50 points, and the alignment section on 10 points, summing up to a total of 100 points. A higher score indicates better functionality.

Trial Locations

Locations (1)

Gazi University Hospital; 🇹🇷 Ankara, Turkey