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临床试验/NCT06782269
NCT06782269尚未招募不适用

Incidence of Subtalar Joint Fusion After Isolated Ankle Fusion

Robert Jones and Agnes Hunt Orthopaedic and District NHS Trust0 个研究点目标入组 400 人开始时间: 2025年6月1日最近更新:

试验速览

阶段
不适用
状态
尚未招募
发起方
入组人数
400
主要终点
incidence of subtalar and midfoot fusions after isolated fusion of the ankle joint

研究概览

简要总结

It is important to know a truer incidence of the need for subtalar and midfoot fusions, following an isolated ankle fusion, in order to better inform our patients of the likelihood of needing further surgery in the future. It is also important to understand whether pre-existing radiological arthrosis is likely to lead to the need for a fusion in the future and also how important the alignment of the ankle joint, after a fusion, may influence that.

The aim of the study is to review the patients' notes and radiology who have had a previous isolated ankle fusion and then to see whether they subsequently required further surgery.

详细描述

Isolated ankle fusion is normally regarded as a good operation producing good pain relief and allowing patients to function well. Patients will have an early heel rise when walking and although that is often not immediately perceptible to an onlooker, it does increase the stress on the neighbouring subtalar and Chopart joints. Radiologically, subtalar joint arthrosis is common following isolated ankle fusions but not necessarily clinically symptomatic. The long term incidence of subsequent ipsilateral subtalar or Chopart joint fusions is not well known. Various different studies have shown a prevalence of osteoarthrosis (radiologically) of 24-100% in the subtalar joint and reported 84% of patients complaining of pain after 10 years. The prevalence in the Chopart joints has been reported to vary between 18-77%.

This is an observational study reviewing medical records and radiology of patients who have had an isolated ankle fusion. The data will be analysed using basic statistics with logistic regression modelling.

研究设计

研究类型
Observational
观察模型
Cohort
时间视角
Retrospective

入排标准

年龄范围
18 Years 至 100 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Any patient who has had an isolated ankle fusion and is over the age of 18 years old.

排除标准

  • Participants younger than 18 years old.

结局指标

主要结局

incidence of subtalar and midfoot fusions after isolated fusion of the ankle joint

时间窗: A retrospective data collection following patients from surgery to now.

To look at the incidence of subtalar and midfoot fusions after an isolated ankle fusion and what factors influenced this.

次要结局

未报告次要终点

研究者

发起方
Robert Jones and Agnes Hunt Orthopaedic and District NHS Trust
申办方类型
Other Gov
责任方
Sponsor

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