Observational Study Regarding the Necessity of Inclusion of Foot Arch State Together With the Angiosome Theory Within the Wound, Ischemia and Foot Infection Classification (WIfI) to Enhance the Predictability of Wound Healing and Decision Making

NCT ID: NCT06542523

Last Updated: 2024-08-07

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

ACTIVE_NOT_RECRUITING

Total Enrollment

60 participants

Study Classification

OBSERVATIONAL

Study Start Date

2024-03-01

Study Completion Date

2025-03-31

Brief Summary

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This study aims to assess the complete healing or healing progress of foot ulcer within 1 year Where the patients will be classified according to foot arch state together with the angiosome theory and the WIFI clinical stage to reflect the the necessity of inclusion of foot arch state together with the angiosome theory within the WIFI classification to enhance the predictability of wound healing and decision making

Detailed Description

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Patients will be classified according to their WIFi stages into 3 groups and each group will be furtherly classified according to the patient's angiography of foot arch (whether by CT angiography or direct angiography) into:

Type 1: patent foot arch Type 2: partially occluded foot arch which is divided into whether Type 2a: patent dorsal tributary of foot arch Type 2b: patent lateral tributary of foot arch Type 3: totally occluded foot arch is divided into whether. Type 3a: totally occluded foot arch with anterior tibial artery inflow. Type 3b: totally occluded foot arch with posterior tibial artery inflow.

During follow-up assessments, wound is classified to be within: anterior tibial artery, posterior tibial artery or both territories.

Wound healing states are often classified based on the progression of the healing process into each of the following categories such as:

1. Complete Healing: Wound closure with the restoration of tissue integrity and absence of signs of infection.
2. Partial Healing: Significant improvement but not complete closure; may involve reduction in wound size and improved tissue viability.
3. Worsening: Increase in wound size or signs of infection which may necessitates performing major amputation.

Conditions

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Chronic Limb-Threatening Ischemia Diabetic Foot Vascular Diseases

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

PROSPECTIVE

Study Groups

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WIFI stage 1 with type 1 foot arch

No interventions assigned to this group

WIFI stage 2 with type 1 foot arch

No interventions assigned to this group

WIFI stage 3 with type 1 foot arch

No interventions assigned to this group

WIFI stage 1 with type 2a foot arch

No interventions assigned to this group

WIFI stage 2 with type 2a foot arch

No interventions assigned to this group

WIFI stage 3 with type 2a foot arch

No interventions assigned to this group

WIFI stage 1 with type 2b foot arch

No interventions assigned to this group

WIFI stage 2 with type 2b foot arch

No interventions assigned to this group

WIFI stage 3 with type 2b foot arch

No interventions assigned to this group

WIFI stage 1 with type 3a foot arch

No interventions assigned to this group

WIFI stage 2 with type 3a foot arch

No interventions assigned to this group

WIFI stage 3 with type 3a foot arch

No interventions assigned to this group

WIFI stage 1 with type 3b foot arch

No interventions assigned to this group

WIFI stage 2 with type 3b foot arch

No interventions assigned to this group

WIFI stage 3 with type 3b foot arch

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* diabetic foot in the form of gangrene, or a lower limb ulceration \>2 weeks duration.

Exclusion Criteria

1. Age below 18 years old.
2. Critically ill patients
3. Patients with acute ischemia
4. patients with pure venous ulcer
5. patients with ulcer due to rheumatological disease
6. The patient has known sensitivity to heparin.
7. The patient has comorbid conditions that may limit their ability to comply with the follow-up requirements
8. The patient has an untreatable allergy to radiographic contrast material.
9. Patient refusing consent
Minimum Eligible Age

18 Years

Maximum Eligible Age

90 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ain Shams University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Ain Shams University

Cairo, , Egypt

Site Status

Countries

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Egypt

Other Identifiers

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AinShamsUnivascular

Identifier Type: -

Identifier Source: org_study_id

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