Merignac

This research aims to describe dynamic movement characteristics in active patients who have undergone hip arthroscopy surgery between 3 and 6 months prior. The study focuses on movements such as jumping, squatting, and acceleration, aiming to understand how these relate to returning to sports. By analyzing angle and alignment measurements before and after surgery, the study seeks to identify factors that might predict rehabilitation success for athletes and enable personalized recovery plans. Participants will undergo biomechanical analysis that measures symmetry in hip muscular forces between their two lower limbs. This diagnostic test evaluates hip force moments across three planes and compares the two legs to assess movement balance. The study observes these parameters at 3 and 6 months after surgery to gather detailed biomechanical data. During the study, participants will be assessed on hip muscular force symmetry at the specified post-surgery intervals. Researchers will collect and analyze movement data related to jumping, squatting, and acceleration. The primary outcome is the symmetry of hip muscle forces between the legs, providing insights into recovery progress. The study runs until December 2026, with assessments focused on understanding rehabilitation and return to sport.

Researchers are studying the movement and sports return outcomes of active patients who have undergone total hip replacement THR surgery. The study focuses on analyzing dynamic biomechanical parameters of gait, particularly movements important for resuming sports activities after surgery. This observational research is conducted by Clinique du Sport, Bordeaux Mrignac and aims to provide detailed biomechanical data relevant to rehabilitation.

Researchers are comparing two treatments for persistent lumbar radicular pain LRP caused by a herniated disc. The study evaluates the long-term effects of CT-guided epidural steroid injections ESI, a common treatment with rare serious complications, versus platelet-rich plasma PRP injections, which may promote healing and reduce inflammation by delivering growth factors and cytokines. A previous study found PRP to be as effective as ESI without major complications. This prospective study aims to assess these treatments over two years. Participants will receive either interlaminar CT-guided epidural steroid injections or interlaminar CT-guided epidural platelet-rich plasma injections. The PRP treatment involves collecting blood, processing it to concentrate plasma, and then injecting it. The trial is randomized, with participants assigned to either the steroid or PRP group. The treatments are given under CT guidance to target the affected area. Throughout the study, participants functional ability will be measured before the procedure and at multiple follow-up points 6 weeks, 6 months, 1 year, and 2 years after treatment. Pain levels will also be evaluated at these same intervals. Researchers will monitor outcomes to compare the effectiveness and safety of the two treatments over the long term.

Researchers are comparing tele-rehabilitation with no physical therapy after total hip arthroplasty THA to see which approach better improves patient-reported outcomes and functional recovery. THA is a common surgery to relieve pain and improve hip function, and traditional physical therapy is part of usual care but can be limited by logistical challenges. Tele-rehabilitation offers a digital alternative to overcome these barriers and improve access to care. The study has two groups one receiving standard rehabilitation with a private physiotherapist, typically involving 15 to 25 sessions depending on patient needs, and the other receiving tele-rehabilitation through a mobile app and web portal. Patients in the tele-rehabilitation group perform exercises and receive education at home while being remotely monitored daily by a physiotherapist who can adjust the program based on activity, pain, medication use, and reported results. Participants will be followed for six months after surgery with evaluations using the Timed Up and Go test at 6 weeks and 6 months as the primary outcome. Researchers will also assess patient satisfaction, healthcare use, return to physical activity, and other patient-reported measures. The study involves regular monitoring through digital tools and aims to understand the impact of these rehabilitation methods on recovery and function after hip replacement.

This research focuses on patients with recurrent anterior shoulder instability undergoing the Latarjet procedure, a common surgical technique. The study aims to evaluate whether adding anterior capsuloplasty to the coracoid buttress repair affects external rotation of the shoulder, which may influence function, joint movement, and return to sports, especially in athletes involved in combat or contact sports. There is currently no consensus among surgeons about the necessity of capsuloplasty in this procedure, and previous studies have shown mixed results regarding its impact on shoulder motion. Participants will undergo one of two surgical procedures open coracoid impingement repair without capsuloplasty or open coracoid impingement repair with a standardized anterior capsuloplasty. Both procedures involve general anesthesia, a semi-sitting position, and a delto-pectoral approach with coracoid osteotomy and fixation to the glenoid using screws. The capsuloplasty technique includes a horizontal repair with an anchor. Surgical and rehabilitation protocols are identical aside from the capsuloplasty. During the study, participants will be monitored for up to 12 months after surgery. Researchers will assess the range of external rotation at 12 months as the primary outcome. Secondary outcomes include recurrence of shoulder instability and the Rowe score at 12 months. The study will help determine the effects of capsuloplasty on shoulder motion and stability, potentially guiding surgical practice for shoulder instability management.

Ankle sprain is a common injury in the general population, with many patients developing chronic instability within a year. Premature return to sport increases the risk of this instability. This research evaluates whether a composite test called ANKLE-GO, performed three months after lateral ankle ligament surgery, can predict a safe return to sport and reduce the risk of recurrence. The study is randomized and sponsored by Clinique du Sport, Bordeaux Mrignac. Participants undergo lateral ankle ligamentoplasty surgery and are then divided into two groups after completing the ANKLE-GO test. One group receives personalized physiotherapy instructions based on their test results to guide their rehabilitation, while the other group receives usual physiotherapy care. The personalized instructions are adapted to individual test scores to address key functional elements. During the study, participants will be assessed using the Tegner questionnaire to measure return to sport at one year after surgery. Additional evaluations include sports level, hours of sport per week, ankle instability scale FAAM questionnaire, and pain measured by an analog scale at various points up to one year. The study begins with screening, includes rehabilitation guided by test results or usual care, and follows participants for at least one year to monitor outcomes and safety.

Researchers are evaluating the EkiYou V2 Digital Therapy in adults with diabetes who use multiple daily insulin injections as part of a basal-bolus insulin regimen. This multicenter randomized controlled trial aims to compare the performance of this digital therapy with conventional insulin management methods and assess user satisfaction and quality of life. The study is sponsored by DiappyMed and follows 154 adults over a 6-month period. Participants will be randomly assigned to either receive the EkiYou V2 device at the start or continue their standard basal-bolus insulin care for three months before switching to the device for the remaining three months. The EkiYou V2 is a mobile application that supports insulin dose estimation, including basal insulin dose, insulin-to-carb ratios, and correction factors. It uses a large food database, accounts for meals, physical activity, and glucose levels, and connects to continuous glucose monitoring CGM devices. During the 6-month study, participants will attend three visits and complete electronic questionnaires to report their quality of life and satisfaction with the application. Researchers will monitor glucose control through CGM data, measuring time spent in the target glucose range and other glucose-related outcomes. Safety events and adverse effects related to the device will also be tracked throughout the trial.

Researchers are collecting and evaluating long-term clinical and X-ray data to better understand the safety and performance of shoulder arthroplasty over time. This observational study follows patients for at least 10 years to observe outcomes without a set limit on follow-up duration. The study includes people with various shoulder conditions such as osteoarthritis, rotator cuff tears, fractures, and infections. Participants in this study have undergone or are indicated for shoulder arthroplasty surgery. The study tracks their progress over time through regular clinical and radiographic assessments. Various outcome scores like the Constant score, ASES, Oxford Score, TESS, and MSTS are measured approximately once per year throughout the study period to evaluate shoulder function and recovery. During the study, participants will attend scheduled visits where clinical exams and imaging are performed to monitor their shoulder health and prosthesis performance. They will complete questionnaires related to their condition and function. The study aims to gather comprehensive long-term data on shoulder arthroplasty outcomes, with follow-up lasting at least 10 years from enrollment.

Researchers are comparing two different techniques for aligning total knee prostheses TKA in adults with knee osteoarthritis. The traditional mechanical alignment MA method uses fixed bone cuts based on mechanical axes and does not restore the knees original anatomy, which can lead to residual symptoms and dissatisfaction. The newer kinematic alignment KA technique aims to personalize the prosthesis placement according to each patients unique pre-arthritic knee anatomy, although its biomechanical impact is still not well understood. This study seeks to compare knee biomechanics between mechanical and kinematic TKA methods. The trial involves two groups of patients who have received either a mechanically aligned or a kinematically aligned total knee prosthesis. Patients in the KA group are consecutively selected during post-operative follow-up consultations at least one year after surgery, while the MA group is matched by sex, age, and BMI for comparison. Both interventions are evaluated as devices during routine clinical care, with no randomization or blinding involved. Participants are assessed one year after surgery through various biomechanical parameters including spatiotemporal, kinematic, joint moment, force, and lever arm measurements, as well as the symmetry between the operated and healthy knee. Clinical outcomes such as function, pain, joint perception, satisfaction, range of motion, and complications are also measured. Imaging studies using EOS 3D and radiography evaluate implant alignment, fixation, and bone structure. The study also includes patient-reported outcomes to provide a comprehensive view of recovery and prosthetic performance.

Researchers are comparing two types of total knee prostheses designed for the kinematic alignment technique in patients needing initial total knee replacement due to knee osteoarthritis. The study aims to assess how patients perceive these prostheses, alongside clinical, imaging, gait biomechanics, and knee muscle strength outcomes. The kinematic alignment technique seeks to better replicate each patients natural knee anatomy compared to traditional mechanical alignment, potentially reducing residual symptoms and improving patient experience. Participants will undergo total knee arthroplasty using one of two prostheses the made-to-measure Origin4 prosthesis or the generic but kinematic alignment-optimized SpheriKA4 prosthesis. The study randomly assigns patients to receive either prosthesis through a single-masked design. The interventions involve surgical implantation of the prosthesis using the kinematic alignment approach. Participants will be evaluated before surgery, 45 days after surgery, and at 1 and 2 years post-surgery. Assessments include the forgotten joint score to measure joint perception, lower limb frontal alignment via imaging, walking ability, and knee muscle strength. The study will monitor these outcomes over two years to compare the prostheses performance and patient satisfaction.