Clinical Research Directory
Browse clinical research sites, groups, and studies.
Arthroscopic Versus Open Subtalar Arthrodesis for the Treatment of Subtalar Arthritis
Sponsor: Cairo University
Summary
The goal of this clinical trial is to compare two surgical approaches for treating symptomatic subtalar arthritis in patients who have failed conservative treatment. The main questions it aims to answer are: What is the fusion rate for each surgical technique? Which technique achieves bony union faster with fewer complications? Researchers will compare arthroscopic subtalar arthrodesis (ASTA) to open in situ subtalar arthrodesis (ISTA) to see if one technique results in superior fusion rates, faster healing, and better functional outcomes. Participants will: Undergo one of two surgical procedures (either ASTA or ISTA) Attend follow-up visits at 6 weeks, 3 months, 6 months, and 12 months after surgery Have X-rays taken to assess fusion and bone healing Complete pain and function questionnaires at each visit
Official title: Comparative Analysis of Open Versus Arthroscopic Approaches for Subtalar Arthrodesis in Patients With Subtalar Arthritis
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
40
Start Date
2023-12-05
Completion Date
2026-06
Last Updated
2026-03-31
Healthy Volunteers
No
Conditions
Interventions
Arthroscopic Subtalar Arthrodesis
Arthroscopic technique using a 4 mm 30° arthroscope in the prone position. Includes complete synovectomy, motorized debridement of posterior facet cartilage, subchondral microfracture drilling, and percutaneous screw fixation (two 6.5-7.3 mm cannulated screws) under fluoroscopic guidance.
Open In Situ Subtalar Arthrodesis
Lateral sinus tarsi approach performed supine with 4-5 cm oblique incision. Complete cartilage debridement to bleeding cancellous bone, subchondral plate perforation, and percutaneous screw fixation (two cannulated screws) under fluoroscopic guidance.
Locations (1)
Cairo university hospitals
Cairo, Cairo Governorate, Egypt