Subtalar Arthrodesis by Single Versus Double Screws

Assiut University

Status: Not yet enrolling

Conditions: Subtalar Osteoarthritis Secondary to Inflammatory Arthritis

Treatments: Procedure: Subtalar Arthrodesis by Screws

Study type: Interventional

Funder types: Other

Identifiers

NCT05795543

subtalar arthrodesis

Details and patient eligibility

About

Compare clinical and radiological outcome of use of single screw versus double screws fixation for subtalar arthrodesis

Full description

The subtalar joint consists of an anterior, posterior and medial joint facet, which allows for inversion - and eversion of the foot. Several pathologies may lead to pain originating from the subtalar joint, including primary arthritis, posttraumatic arthritis, congenital or acquired deformities, instability, tarsal coalition or inflammatory diseases Management of these pathologies variable including conservative and operative treatment once conservative treatment has failed subtalar fusion is a common surgical procedure which is a well-established and widely accepted There are many surgical techniques described for fusion , one of these techniques is fixation with screws The rate of non-union varies among authors between 0-46%, that's may due to lack of standardization of techniques should be used

Enrollment: 44 estimated patients

Sex: All

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• All patients who will be operated by subtalar fusion for any indication Age range 18 - 65

Exclusion criteria

• Age < 18 years , > 65 Acute calceneal fracture Infection Non union Bone defect that need bone graft Refusing to participate in the study

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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44 participants in 2 patient groups

A

Active Comparator group

Description:

subtalar arthrodesis by single screw

Treatment:

Procedure: Subtalar Arthrodesis by Screws

B

Active Comparator group

Description:

subtalar arthrodesis by double screws

Treatment:

Procedure: Subtalar Arthrodesis by Screws