Extracorporeal Shock Wave Therapy for Pain-Relief After Arthroscopy for Osteochondral Lesions of the Talus

NCT ID: NCT03750253

Last Updated: 2019-03-22

Basic Information

• Recruitment Status: UNKNOWN
• Clinical Phase: NA
• Total Enrollment: 15 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2013-03-01
• Study Completion Date: 2019-07-01

Brief Summary

Arthroscopic surgery is effective in treating osteochondral lesions of the talus. However, there are still some patients with postoperative ankle pain. This study aims to investigate the clinical efficacy of shock wave adjuvant therapy in the treatment of postoperative pain caused by cartilage injury of talus after arthroscopy and to provide basis for further popularization and application.

Detailed Description

Arthroscopic surgery is effective in treating osteochondral lesions of the talus. However, there are still some patients with postoperative ankle pain. This study was conducted to investigate the clinical efficacy of shock wave therapy in the treatment of postoperative pain caused by cartilage injury of talus after arthroscopy.

Patients with osteochondral lesions of the talus treated by arthroscopic microfracture surgery and still complained ankle pain three months after surgery were enrolled. Radial extracorporeal shock wave therapy was used to give energy to the injured region of the talus and the adjacent area.Treatment was done once a week for 5 consecutive weeks. After shock wave therapy,the patients were followed by Visual Analogue Scale (VAS), the American Orthopaedic Foot and Ankle Society ankle-hindfoot scale(AOFAS-AHFS) , and followed finally by Magnetic Resonance Imaging(MRI) of the ankle.

Conditions

Osteochondral Lesion of Talus

Study Design

• Allocation Method: NA
• Intervention Model: SINGLE_GROUP
• Primary Study Purpose: SUPPORTIVE_CARE
• Blinding Strategy: NONE

Study Groups

Extracorporeal Shock Wave Therapy

Extracorporeal Shock Wave Therapy to relieve pain after arthroscopy for osteochondral lesions of talus

Group Type: OTHER

Extracorporeal Shock Wave Therapy

Intervention Type: OTHER

Extracorporeal Shock Wave Therapy will be used for pain-relief after arthroscopy for osteochondral lesions of the talus

Interventions

Extracorporeal Shock Wave Therapy

Extracorporeal Shock Wave Therapy will be used for pain-relief after arthroscopy for osteochondral lesions of the talus

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

1. For arthroscopy:

• Ankle pain, aggravated after exercise or weight-bearing activity, accompanied by lameness, joint stiffness and dysfunction for at least 3 months
• No talar collapse
• Talar cartilage injury cases before stage Ⅳ of Hepple classification

2. For shock wave therapy:

• Patients with micro-fractures treated with arthroscopic treatment of talar cartilage injury and were treated with routine rehabilitation training after arthroscopy
• Patients who till complained obvious ankle pain 3 months after surgery

Exclusion Criteria

• Severe cardiovascular and cerebrovascular diseases
• Hemorrhagic diseases, coagulation disorders
• Bone immaturity
• Thrombosis
• Use of anti-immune agents
• Various types of tumor patients
• Pregnant women
• History of mental illness
• Patients who could not be followed
• Patients with other lower extremity injuries after surgery and were unwilling to participate in the study

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 80 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Southwest Hospital, China

OTHER

Sponsor Role: lead

Responsible Party

Xiaojun Duan

Deputy Director of the Center for Joint Surgery

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Xiaojun Duan, M.D.

Role: PRINCIPAL_INVESTIGATOR

Southwest Hospital, China

Locations

Southwest Hospital

Chongqing, , China

Countries

China

Other Identifiers

ESWT

Identifier Type: -

Identifier Source: org_study_id