Prospective Randomized Evaluation of a Two and Three Piece Total Ankle Replacement

Not Applicable

Completed

• Conditions: Ankle Osteoarthritis
• Interventions: Device: STAR Total Ankle Replacement; Device: Salto-Talaris Total Ankle Replacement

• Registration Number: NCT01504438
• Lead Sponsor: Duke University

Brief Summary

This is a randomized study to prospectively compare and evaluate the functional outcome and patient satisfaction of total ankle replacements for tibio-talar osteoarthritis using either the STAR or Salto-Talaris prothesis.

Detailed Description

Not available

Study Timeline

• Study Start: 2011-10
• Study First Submitted: 2011-10-10
• Study First Submitted QC: 2012-01-03
• Study First Posted: 2012-01-05
• Primary Completion: 2020-03-04
• Study Completion: 2020-03-04
• Results First Submitted: 2021-02-24
• Status Verified: 2021-04
• Results First Submitted QC: 2021-04-12
• Last Update Submitted: 2021-04-12
• Results First Posted: 2021-05-05
• Last Update Posted: 2021-05-05

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 100

Inclusion Criteria

• Adult patients (age > 18 years) who will benefit from a total ankle replacement, as determined by Drs. Nunley, DeOrio, or Easley, with the aid of the physical exam and routine radiography treated at Duke University Medical Center and who have no medical conditions that would represent contraindications to surgery or anesthesia will be asked to participate in this study.

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Exclusion Criteria

• The only excluded patients will be those who do not choose to participate in this study, have a weight greater than 250lbs, or do not meet the minimum age of 18 years.

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
STAR Total Ankle Replacement	STAR Total Ankle Replacement	-
Salto Talaris Total Ankle Replacement	Salto-Talaris Total Ankle Replacement	-

Primary Outcome Measures

Name	Time	Method
Pain Following a Total Ankle Replacement as Measured by the Visual Analog Scale (VAS) for Pain	Baseline, 6 months, 1 year, 2 years, 3 years	To assess changes in pain across time following total ankle replacement. The visual analog scale (VAS) is a validated, subjective measure for acute and chronic pain. Scores are recorded by making a mark on a 100mm line that represents a continuum between "no pain" and "worst pain." A score of 0 represents less pain intensity while a score of 100 represents high pain intensity
Physical Limitations Following a Total Ankle Replacement as Measured by the Short Musculoskeletal Function Assessment (SMFA) Questionnaire.	Baseline, 6 months, 1 year, 2 years, 3 years	The SMFA consists of two sections: 34 questions covering the assessment of the patient's function and 12 questions covering how bothered patients are by their symptoms. Items are scored in six categories: daily activities, emotional status, arm and hand function, mobility category, and bother index. On a scale of 1 to 5, patients rate their ability on each item and higher total scores represent greater degree of dysfunction or bother. SMFA higher total score represent greater degree of dysfunction or bother. The lowest score is 0 representing the best possible function and the highest score is 100 representing an overall higher degree of dysfunction or bother.
Pain and Function Following a Total Ankle Replacement as Measured by the American Orthopaedic Foot and Ankle Society (AOFAS) Ankle-Hindfoot Rating System	Baseline, 6 months, 1 year, 2 years, 3 years	The AOFAS Ankle-Hindfoot Rating System is a standardized evaluation of the clinical status of the ankle-hindfoot. Patients report their pain and physicians assess alignment; the patient and physician work together to complete the functional portion. Scores range from 0 to 100, with healthy ankles receiving 100 points.
Functional Health Following a Total Ankle Replacement Using the 36-Item Short Form Health Survey (SF-36).	Baseline, 6 months, 1 year, 2 years, 3 years	The SF-36 comprises 36 questions which cover eight domains of health: Limitations in physical activities because of health problems, Limitations in social activities because of physical or emotional problems, Limitations in usual role activities because of physical health problems, Bodily pain, General mental health (psychological distress and well-being), Limitations in usual role activities because of emotional problems, Vitality (energy and fatigue), and General health perceptions. Scores for the different domains are converted and pooled using a scoring key, for a total score indicating a range of low to high Quality of Life (QOL). Each scale is directly transformed into a 0-100 scale on the assumption that each question carries equal weight. The lower the score the more disability. The higher the score the less disability i.e., a score of zero is equivalent to maximum disability
To Measure a Change in One's Daily Activity Following a Total Ankle Replacement Using the Foot and Ankle Disability Index (FADI) at Multiple Time Points.	Baseline, 6 months, 1 year, 2 years, 3 years	The FADI has 26 items, each of which is scored from 0 (unable to do) to 4 (no difficulty at all). The four pain items of the FADI are scored 0 (none) to 4 (unbearable). The total score ranges 0 to 104 with higher scores indicating a better outcome.

Secondary Outcome Measures

Name	Time	Method
Three Dimensional Kinematic and Kinetic Assessment During Level Walking Across Time Following Total Ankle Replacement.	Baseline, 6 months, 1 year, 2 years, 3 years	In order to understand the effect of the ankle replacement on lower extremity kinematics and kinetics, each subject will be asked to complete a series of functional tasks and level walking trials at each of the study timepoints.

Trial Locations

Locations (1)

Duke Medical Plaza Page Road; 🇺🇸 Durham, North Carolina, United States