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Foot and Ankle SurgeryNCT03996707

Immediate Weight-bearing Verses Non-Weight-bearing After Foot & Ankle Surgery

A study testing Weight Bearing and Strict non-weight bearing in people with Foot and Ankle Surgery, run by Allegheny Singer Research Institute (also known as Allegheny Health Network Research Institute) at 2 sites in United States.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

The primary objective of this study is to determine whether immediate weight-bearing following foot and ankle surgery provides similar or superior results to the traditional non-weight-bearing post-operative course, while reducing the disuse atrophy and length of rehabilitation necessary to recover during the… Read more about this study

Who is it for?
Ages 18 to 89 years
Conditions the study is for
Foot and Ankle Surgery
What is being tested?
Weight Bearing and Strict non-weight bearing
Could I receive a placebo?
No, everyone receives an active treatment
How many people
5 participants
Where
2 sitesUnited States
Study dates
29 Jul 2019to 15 Jul 2021
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 89 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Males or females age 18 to 89 years
  • Undergoing foot and ankle surgery
  • Must be able to read and understand English and consent for themselves

Who cannot join

  • Diagnosed peripheral neuropathy
  • Diagnosed peripheral vascular disease
  • Documented infection to the surgical extremity
  • Previous surgery to the surgical limb
  • Laboratory abnormalities that indicate clinically significant hematologic, hepatobiliary, or renal disease which would predispose patients to poor healing and/or non-union
  • Subjects who, in the opinion of the Investigator, may be non-compliant with study schedules or procedures.

Trial locations and contacts

2 sites in 1 country.

United States2 sites
  • Steel Valley Orthopaedic and Sports Medicine

    Clairton, Pennsylvania, 15025

  • The Foot & Ankle Institute/Western Pennsylvania Hospital

    Pittsburgh, Pennsylvania, 15224

Other trials in United States

About this study

Official title: Immediate Weight-bearing Verses Non-Weight-bearing After Foot & Ankle Surgery: A Prospective Analysis

The primary objective of this study is to determine whether immediate weight-bearing following foot and ankle surgery provides similar or superior results to the traditional non-weight-bearing post-operative course, while reducing the disuse atrophy and length of rehabilitation necessary to recover during the transition to weight-bearing following an extended course of non-weight-bearing. This will be done by way of clinical follow-up, serial radiographs and/or other appropriate imaging modalities, and patient reported outcomes by way of AOFAS and SF-36 surveys.

Read the detailed description

The study is a randomized 1:1, controlled trial, prospective in nature, where participants undergoing foot and ankle surgery will be randomly placed into one of two groups; an immediate weight-bearing group or a non-weight-bearing group. The patients will be randomly placed into the study group and control group if they meet all eligibility criteria.

This study will be conducted at 5 investigative clinic sites; West Penn Hospital, Forbes Regional Hospital, Jefferson Regional Hospital, Bethel Park Surgery Center, and Monroeville Surgery. Recruitment will stop when a minimum of 230 subjects are consented.

The study duration will require 7 visits to the clinic plus a surgery day therefore will require a pre-surgical visit/screening, surgery procedural day and six outpatient post-operative visits to the clinics. The entire follow up period will occur over 2 years.

Being tested
Weight Bearing, Strict non-weight bearing
Keywords
Ankle surgery, Foot surgery

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Weight BearingOther

    Also called Early Weight Bearing

    Immediate protected weight bearing in a CAM walking boot following foot \& ankle surgery

  • Strict non-weight bearingOther

    Also called Non-weight bearing

    Strict non weight bearing for 6 weeks following foot \& ankle surgery

Study groups in NCT03996707
Study groupRoleWhat they receive
Immediate protected weight-bearingOtherImmediate protected weight-bearing
Receives: Other: Weight Bearing
Traditional non weight bearingOtherStrict non-weight-bearing
Receives: Other: Strict non-weight bearing

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Safety/Tolerability/Quality of Life/Satisfaction:Both Patient & Physician Assessment - American Orthopaedic Foot and Ankle Score (AOFAS) Ankle-Hindfoot Scale

    American Orthopaedic Foot and Ankle Score (AOFAS) Ankle-Hindfoot Scale as it pertains to the patient's ankle/foot. Pain, Function, Alignment Score 0-100, 100 being most healthy

    Measured: Both Arms: Screening

  2. Safety/Tolerability/Quality of Life/Satisfaction:Both Patient & Physician Assessment - American Orthopaedic Foot and Ankle Score (AOFAS) Ankle-Hindfoot Scale

    American Orthopaedic Foot and Ankle Score (AOFAS) Ankle-Hindfoot Scale as it pertains to the patient's ankle/foot. Pain, Function, Alignment Score 0-100, 100 being most healthy

    Measured: Both Arms: Post-operative 6-8 weeks

  3. Safety/Tolerability/Quality of Life/Satisfaction:Both Patient & Physician Assessment - American Orthopaedic Foot and Ankle Score (AOFAS) Ankle-Hindfoot Scale

    American Orthopaedic Foot and Ankle Score (AOFAS) Ankle-Hindfoot Scale as it pertains to the patient's ankle/foot. Pain, Function, Alignment Score 0-100, 100 being most healthy

    Measured: Both Arms: Post-operative 3 month

  4. Safety/Tolerability/Quality of Life/Satisfaction:Both Patient & Physician Assessment - American Orthopaedic Foot and Ankle Score (AOFAS) Ankle-Hindfoot Scale

    American Orthopaedic Foot and Ankle Score (AOFAS) Ankle-Hindfoot Scale as it pertains to the patient's ankle/foot. Pain, Function, Alignment Score 0-100, 100 being most healthy

    Measured: Both Arms: Post-operative 12 month

  5. Safety/Tolerability/Quality of Life/Satisfaction:Both Patient & Physician Assessment - American Orthopaedic Foot and Ankle Score (AOFAS) Ankle-Hindfoot Scale

    American Orthopaedic Foot and Ankle Score (AOFAS) Ankle-Hindfoot Scale as it pertains to the patient's ankle/foot. Pain, Function, Alignment Score 0-100, 100 being most healthy

    Measured: Both Arms: Post-operative 24 month

  6. Quality of Life/Satisfaction:Patient Report Outcome - 36 Item Short Form Survey (SF36) RAND

    36 Item Short Form Survey (SF36) RAND. 8 scaled scores, 0-100, 100 being most healthy

    Measured: Both Arms: Screening

  7. Quality of Life/Satisfaction:Patient Report Outcome - 36 Item Short Form Survey (SF36) RAND

    36 Item Short Form Survey (SF36) RAND. 8 scaled scores, 0-100, 100 being most healthy

    Measured: Both Arms: Post-operative 6-8 weeks

  8. Quality of Life/Satisfaction:Patient Report Outcome - 36 Item Short Form Survey (SF36) RAND

    36 Item Short Form Survey (SF36) RAND. 8 scaled scores, 0-100, 100 being most healthy

    Measured: Both Arms: Post-operative 3 month

  9. Quality of Life/Satisfaction:Patient Report Outcome - 36 Item Short Form Survey (SF36) RAND

    36 Item Short Form Survey (SF36) RAND. 8 scaled scores, 0-100, 100 being most healthy

    Measured: Both Arms: Post-operative 12 month

  10. Quality of Life/Satisfaction:Patient Report Outcome - 36 Item Short Form Survey (SF36) RAND

    36 Item Short Form Survey (SF36) RAND. 8 scaled scores, 0-100, 100 being most healthy

    Measured: Both Arms: Post-operative 24 month

Secondary outcomes (14)
  1. Secondary Outcome: Safety/Efficacy/Tolerability - Frequency of complications during the perioperative and post-operative periods

    Frequency of complications during the perioperative and post-operative periods, measured by assessing osseous healing both clinical and radiographic evaluation.

    Measured: Both arms: Screening

  2. Secondary Outcome: Safety/Efficacy/Tolerability - Frequency of complications during the perioperative and post-operative periods

    Frequency of complications during the perioperative and post-operative periods, measured by assessing osseous healing both clinical and radiographic evaluation.

    Measured: Both arms: Post-operative 2-3 weeks

  3. Secondary Outcome: Safety/Efficacy/Tolerability - Frequency of complications during the perioperative and post-operative periods

    Frequency of complications during the perioperative and post-operative periods, measured by assessing osseous healing both clinical and radiographic evaluation.

    Measured: Both arms: Post-operative 6-8 weeks

  4. Secondary Outcome: Safety/Efficacy/Tolerability - Frequency of complications during the perioperative and post-operative periods

    Frequency of complications during the perioperative and post-operative periods, measured by assessing osseous healing both clinical and radiographic evaluation.

    Measured: Both arms: Post-operative 3 month

  5. Secondary Outcome: Safety/Efficacy/Tolerability - Frequency of complications during the perioperative and post-operative periods

    Frequency of complications during the perioperative and post-operative periods, measured by assessing osseous healing both clinical and radiographic evaluation.

    Measured: Both arms: Post-operative 6 month

  6. Secondary Outcome: Safety/Efficacy/Tolerability - Frequency of complications during the perioperative and post-operative periods

    Frequency of complications during the perioperative and post-operative periods, measured by assessing osseous healing both clinical and radiographic evaluation.

    Measured: Both arms: Post-operative 12 month

  7. Secondary Outcome: Safety/Efficacy/Tolerability - Frequency of complications during the perioperative and post-operative periods

    Frequency of complications during the perioperative and post-operative periods, measured by assessing osseous healing both clinical and radiographic evaluation.

    Measured: Both arms: Post-operative 24 month

  8. Safety/Efficacy/Tolerability - Frequency of complications during the perioperative and post-operative periods

    Frequency of complications during the perioperative and post-operative periods, measured by assessing healing outcomes of soft tissue procedures.

    Measured: Both arms: Screening

  9. Safety/Efficacy/Tolerability - Frequency of complications during the perioperative and post-operative periods

    Frequency of complications during the perioperative and post-operative periods, measured by assessing healing outcomes of soft tissue procedures.

    Measured: Both arms: Post-operative 2-3 weeks

  10. Safety/Efficacy/Tolerability - Frequency of complications during the perioperative and post-operative periods

    Frequency of complications during the perioperative and post-operative periods, measured by assessing healing outcomes of soft tissue procedures.

    Measured: Both arms: Post-operative 6-8 weeks

  11. Safety/Efficacy/Tolerability - Frequency of complications during the perioperative and post-operative periods

    Frequency of complications during the perioperative and post-operative periods, measured by assessing healing outcomes of soft tissue procedures.

    Measured: Both arms: Post-operative 3 month

  12. Safety/Efficacy/Tolerability - Frequency of complications during the perioperative and post-operative periods

    Frequency of complications during the perioperative and post-operative periods, measured by assessing healing outcomes of soft tissue procedures.

    Measured: Both arms: Post-operative 6 month

  13. Safety/Efficacy/Tolerability - Frequency of complications during the perioperative and post-operative periods

    Frequency of complications during the perioperative and post-operative periods, measured by assessing healing outcomes of soft tissue procedures.

    Measured: Both arms: Post-operative 12 month

  14. Safety/Efficacy/Tolerability - Frequency of complications during the perioperative and post-operative periods

    Frequency of complications during the perioperative and post-operative periods, measured by assessing healing outcomes of soft tissue procedures.

    Measured: Both arms: Post-operative 24 month

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted25 Jun 2019
  2. Study start29 Jul 2019
  3. Primary completion15 Jul 2021
  4. Study completion15 Jul 2021

Why it stopped: All consented subjects were lost to follow up. P.I. stopped due to lack of interest.

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
The investigators will be assessing the difference in two groups; immediate protected weight-bearing in a CAM walking boot vs. strict non-weight-bearing for 6 weeks following foot and ankle surgery.
Masking
None (open label)
Enrolment
5 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03996707
Sponsor's protocol ID
2019-124JH
Status last verified
Sep 2021
First submitted
22 May 2019
Last updated
27 Sep 2021
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: Principal Investigator and Co-Investigators are part of the Allegheny Health Network and will have complete access to all data for the purpose of publication at study completion. No other outside entities are involved in this research study.

Questions about this trial

What is this clinical trial studying?

A study testing Weight Bearing and Strict non-weight bearing in people with Foot and Ankle Surgery, run by Allegheny Singer Research Institute (also known as Allegheny Health Network Research Institute) at 2 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: stopped early, as of the sponsor's last update on 27 Sep 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study was stopped early (reason given: All consented subjects were lost to follow up. P.I. stopped due to lack of interest.). Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Safety/Tolerability/Quality of Life/Satisfaction:Both Patient & Physician Assessment - American Orthopaedic Foot and Ankle Score (AOFAS) Ankle-Hindfoot Scale (time frame: Both Arms: Screening). The study lists 10 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 27 Sep 2021.

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