Endoscopic Assisted Transfer of Flexor Hallucis Longus Tendon for Chronic Achilles Tendon Rupture. A Prospective Multi Center Cohort Study
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 发起方
- 入组人数
- 38
- 试验地点
- 1
- 主要终点
- The Victorian Institute of Sports Assessment- Achilles Questionnaire (VISA-A) outcome score
研究概览
简要总结
The transfer of Flexor Hallucis Longus (FHL) in the management of chronic Achilles tendon ruptures has demonstrated good functional outcome, but an extensive surgical field at a vulnerable location may lead to increased risk for soft tissue problems. The arthroscopic FHL transfer may reduce the risk for soft tissue problems. Functional outcome parameters are investigated, wound/soft tissue complications registered.
详细描述
The transfer of FHL in the management of chronic Achilles tendon ruptures has demonstrated good functional outcome with American Orthopaedic Foot ane Ankle Society (AOFAS) hindfoot scores at 80-89. The extensive surgical field by either a two-incision approach or a single longitudinal posterior approach to the Achilles tendon may lead to an increased risk for soft tissue problems, both infections and wound healing problems. The endoscopic FHL transfer may reduce the risk for soft tissue problems while retaining a good functional outcome. Several functional outcome measures and scores are evaluated a year after surgery.
Prospective study for evaluation of the surgical procedure.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 30 Years 至 75 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Chronic Achilles Tendon Rupture
排除标准
- •Pregnancy
- •BMI<18.5 or >39.9
- •Insufficient Norwegian Language proficiency lack of communication skills local skin conditions at site for planned surgery
结局指标
主要结局
The Victorian Institute of Sports Assessment- Achilles Questionnaire (VISA-A) outcome score
时间窗: one year after FHL transfer
次要结局
- patient reported function score (PRFS)(6, 12 months)
- functional test battery(12 months)
- Magnetic resonance imagine (MRI)(one year post surgery)
- AOFAS hindfoot(3,6,12 months)
- VISA-A(6 months after surgery)
- Visual Analogue Scale for Pain (VAS pain) score(3, 6 and 12 months after FHL transfer)
- local wound conditions(within 12 weeks)
研究者
Elisabeth Ellingsen Husebye
MD, PhD
Oslo University Hospital