The purpose of this study is to evaluate the long term outcome of arthroscopic debridement and microfracturing for OCD of the talus.
ID
Source
Brief title
Condition
- Tendon, ligament and cartilage disorders
- Bone and joint therapeutic procedures
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
The primary outcome measure is the subjective outcome of the patients, measured
by the Berndt & Harty Outcome score and the Ogilvie-Harris score.
Secondary outcome
Secondary outcome measures are the AOFAS-AHS score, the SF-36 score,
classification of OCDs of the talus and osteoarthritis.
Background summary
An osteochondral defect (OCD) of the talus is described as the (partial)
separation of a fragment of articular cartilage with or without subchondral
bone.
During the best currently available treatment, arthroscopic debridement and
microfracturing, any loose fragments are removed, the defect is debrided, and
in the underlying subchondral bone small holes are drilled (microfracturing) to
promote revascularization and the formation of new fibrous cartilage.
Little is known about the long term outcome of this treatment. A new study on
the long term outcome with a sufficiently long follow-up period could provide
more insight in patient satisfaction and possible osteoarthritic changes of
this apparently successful treatment.
Study objective
The purpose of this study is to evaluate the long term outcome of arthroscopic
debridement and microfracturing for OCD of the talus.
Study design
In this retrospective study, all arthroscopies of the talus that involved
debridement and microfracturing that have been performed in the AMC between
1988 and 2000 will be looked up. This will concern an estimated number of 40
patients. Of this group, patients that match the inclusion criteria will be
contacted. After written permission has been obtained, patients will be seen at
the outpatient clinic for a follow up assessment. Patients* ankles will be
evaluated by means of regular physical examination, Berndt & Harty Outcome
score, Ogilvie-Harris score, AOFAS-AHS score and SF-36 score. Furthermore,
anteroposterior and lateral X-rays of the operated ankle will be obtained.
Study burden and risks
Patients will receive one outpatient assessment including a radiograph of their
operated ankle.
Meibergdreef 9
1105 AZ Amsterdam
Nederland
Meibergdreef 9
1105 AZ Amsterdam
Nederland
Listed location countries
Age
Inclusion criteria
Patients with an osteochondral defect of the talus, who have been treated by means of arthroscopic debridement and microfracturing between 1988 and 2000.
Exclusion criteria
Other surgical treatment of osteochondral defect of the talus (fixation, osteochondral autologous transplantation, autologous chondrocyte implantation), systemic disease (e.g. rheumatoid arthritis, lupus erythemadosus), inability to understand the patient information and the questionnaires (e.g. mental retardation, language barrier), ankle trauma 6 months or less before follow-up.
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| CCMO | NL22512.018.08 |