Actively Recruiting
Surgical Management of Lateral Ankle Instability: Modified Broström-Gould Versus Arthroscopic Allograft Reconstruction of the Anterior Talofibular and Calcaneofibular Ligaments.
Led by Universidad Francisco de Vitoria · Updated on 2025-10-01
36
Participants Needed
1
Research Sites
156 weeks
Total Duration
On this page
Sponsors
U
Universidad Francisco de Vitoria
Lead Sponsor
I
Instituto de Investigación Sanitaria de la Fundación Jiménez Díaz
Collaborating Sponsor
AI-Summary
What this Trial Is About
Primary Objective: To clarify whether arthroscopic reconstruction with allograft provides tangible benefits over the modified open Broström-Gould technique, or if both are equivalent in efficacy and safety. The clinical AOFAS scale will be used for assessment. Secondary Objectives: To determine if there are differences in health outcomes and patient-perceived pain using the specific SP-36 scale and verbal numeric rating scale (VNRS). Additionally, to assess differences in postoperative complication rates and time to return to daily life activities between the two surgical techniques. Study Design: Prospective, randomized, controlled clinical trial with two parallel groups stratified by age and functional demand. Condition or Disorder Being Studied: Chronic lateral ankle instability. Study Population and Sample Size: The target population includes subjects diagnosed with chronic lateral ankle instability. The study population consists of patients diagnosed in the Orthopedics consultations at Hospital Infanta Elena who meet the inclusion and exclusion criteria. Based on sample size calculations, a total of 36 patients will be recruited. However, due to the prospective nature and stratification by epidemiological and functional variables, the sample size may be increased to ensure comparable groups in each stratum. Study Timeline and Estimated Completion Date: The study is expected to begin in the third quarter of 2025. Recruitment is estimated to last 24 months, with a follow-up period of 12 months, for a total duration of 3 years, ending in the third quarter of 2028.
CONDITIONS
Official Title
Surgical Management of Lateral Ankle Instability: Modified Broström-Gould Versus Arthroscopic Allograft Reconstruction of the Anterior Talofibular and Calcaneofibular Ligaments.
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Age over 18 years
- Subjective sensation of ankle instability
- Abnormal anterior drawer and varus tilt compared to the other ankle
- MRI showing damage to the anterior talofibular ligament (ATFL)
- Body Mass Index (BMI) over 30 or
- Regular participation in pivoting sports or
- Ligamentous hyperlaxity (Beighton score greater than 8) or
- First ankle sprain occurred more than 2 years ago or
- More than 5 ankle sprains per year or
- Subfibular ossicle larger than 1 cm or
- MRI with ATFL showing high T2 signal or
- MRI showing disruption or absence of the ATFL
You will not qualify if you...
- History of previous ankle surgery
- Tibiotalar osteoarthritis or cartilage damage seen on MRI
- Active infections
- Any contraindications for surgery
- Pregnancy
- Lactation
- Known allergy to bovine collagen
- Autoimmune connective tissue disease
- Active cancer
AI-Screening
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Trial Site Locations
Total: 1 location
1
Hospital Universitario Infanta Elena
Valdemoro, Madrid, Spain, 28342
Actively Recruiting
Research Team
J
Juan Chans Veres, Md, PhD
CONTACT
L
Laura Conde Ruiz, MD
CONTACT
How is the study designed?
Study Type
INTERVENTIONAL
Masking
SINGLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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