Allograft Knee Meniscal Transplantation in the Treatment of Osteoarthritis of the Metatarsophalangeal (MTP) Joint of the Great Toe
Overview
- Phase
- Phase 3
- Intervention
- Not specified
- Conditions
- Osteoarthritis
- Sponsor
- Paul Fortin, MD
- Enrollment
- 24
- Locations
- 1
- Primary Endpoint
- Allograft Stability
- Status
- Completed
- Last Updated
- 8 years ago
Overview
Brief Summary
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.
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.
Investigators
Paul Fortin, MD
Orthopedic Surgeon
William Beaumont Hospitals
Eligibility 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
Outcomes
Primary Outcomes
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 Outcomes
- Range of Motion Plantarflexion(3-months postoperative)
- Pain(3-months postoperative)
- Range of Motion Dorsiflexion(3-months postoperative)