Amniotic Membrane as an Adjunct Treatment for Hallux Rigidus

NCT ID: NCT01825356

Last Updated: 2023-02-09

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-04-08

Study Completion Date

2020-11-10

Brief Summary

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The purpose of this study is to determine whether patients undergoing a dorsal cheilectomy procedure with implementation of amniotic membrane tissue results in improved clinical and functional outcomes compared to a standard dorsal cheilectomy procedure.

Specific Aim 1:

To compare American Orthopedic Foot and Ankle Society (AOFAS) scores between patients undergoing dorsal cheilectomy to patients undergoing dorsal cheilectomy with implantation of amniotic membrane tissue.

Hypothesis 1: Clinical and functional outcomes, as measured by the AOFAS , in the patients undergoing dorsal cheilectomy with implantation of amniotic membrane tissue will be superior to those without.

Specific Aim 2:

To compare range of motion between patients undergoing dorsal cheilectomy to patients undergoing dorsal cheilectomy with implantation of amniotic membrane tissue.

Hypothesis 2: Patient to undergo dorsal cheilectomy and implantation of amniotic membrane tissue will demonstrate less postoperative stiffness as measured from the pre-and postoperative radiographs.

Specific Aim 3:

To compare Foot Function Index (FFI) scores between patients undergoing dorsal cheilectomy to patients undergoing dorsal cheilectomy with implantation of amniotic membrane tissue.

Hypothesis 3: Clinical and functional outcomes, as measured by the FFI, the patients undergoing dorsal cheilectomy with implantation of amniotic membrane tissue will be superior to those without.

Detailed Description

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Conditions

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Hallux Rigidus

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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Dorsal Cheilectomy no Amniotic Membrane Tissue Implantation

Dorsal cheilectomy is a surgery for hallux rigidus(degenerative arthritis and stiffness due to bone spurs that affect the joint at the base of the big toe). No amniotic membrane will be used for this group.

Group Type ACTIVE_COMPARATOR

Dorsal Cheilectomy without Amniotic Membrane Tissue Implantation

Intervention Type PROCEDURE

Dorsal Cheilectomy-Amniotic Membrane Tissue Implantation

Dorsal cheilectomy procedure with the addition of the amniotic membrane. Amniotic membrane represents a biologic therapy that has the ability to actively regulate myrofibroblast formation and activity within the joint space and surgical site

Group Type EXPERIMENTAL

Dorsal Cheilectomy with Amniotic Membrane Tissue Implantation

Intervention Type PROCEDURE

Interventions

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Dorsal Cheilectomy without Amniotic Membrane Tissue Implantation

Intervention Type PROCEDURE

Dorsal Cheilectomy with Amniotic Membrane Tissue Implantation

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Patients presented with an isolated diagnosis of type II hallux rigidus who are candidates for operative management with dorsal cheilectomy.
* Patients over the age of 18 able to consent to participate
* The subject is psychosocially, mentally, and physically able to understand and comply with the requirements of the study

Exclusion Criteria

* \< 18 years of age
* Patients that use ambulatory assistive devices
* Patients with systemic inflammtory arthritis
* Patient undergoing revision surgery for hallux rigidus to the ipsilateral extremity
* Patients with significant arthritis requiring alternative surgery other than dorsal cheilectomy
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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OrthoCarolina Research Institute, Inc.

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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John K Ellington, MD

Role: PRINCIPAL_INVESTIGATOR

OrthoCarolina Research Institute, Inc.

Locations

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OrthoCarolina

Charlotte, North Carolina, United States

Site Status

Countries

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United States

Other Identifiers

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03-13-03A

Identifier Type: -

Identifier Source: org_study_id

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