Mid- and Long-term Evaluation of the Results of Patients Undergoing Spinal Cord Stimulation With Microfractures + BST CarGel in the Treatment of Patellofemoral Chondral Lesions of the Knee (CARGEL-LT)
The study consists of 3 phases (Identification of eligible patients, follow-up by telephone or telemedicine platform and the collection of study-specific clinical data of enrolled patients):
- Identification by trained medical personnel of subjects who meet the study inclusion criteria.
- Once the patient's Informed Consent has been obtained, the study-specific questionnaires will be submitted.
- Clinical score data will be collected from the questionnaires conducted at mid- and long-term follow-up of patients enrolled in the study. The data collected during the long-term follow-up will be used to evaluate the time course of the results obtained after treatment of osteochondral lesions of the patellar cartilage by spinal cord stimulation with microfractures
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Contacts and Locations
Study Locations
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-
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Bologna, Italy, 40136
- Istituto Ortopedico Rizzoli
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- Male or female patients, aged between 18 and 75 years;
- BMI up to 30 kg/m2;
- Patients without subsequent surgery on the patellofemoral cartilage of the knee undergoing treatment;
- Ability and consent of patients to actively participate in the rehabilitation protocol and clinical and radiological follow-up;
- Signature of informed consent
- availability
- Competent patients
Exclusion Criteria:
- Patients no longer available;
- Patients who do not agree to undergo assessment;
- Deceased patients
Study Plan
How is the study designed?
Design Details
Number of groups / cohorts
Cohorts and Interventions
Group / CohortGroup / Cohort |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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post surgery patients
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telephone surveys
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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International Knee Documentation Committee
Time Frame: baseline (post surgery)
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This is a subjective, knee-specific rating scale that is considered one of the most reliable assessment tools in the evaluation of knee pathologies.
The questionnaire examines 3 categories: symptoms, sports activity and knee function.
According to this questionnaire, a score between 0 and 100 can be obtained, whereby a high score is associated with a high level of function and minor pain symptoms.
A score of 100 is in fact interpreted as a condition in which there are neither limitations in conducting activities of daily living nor symptoms.
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baseline (post surgery)
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Knee Injury and Osteoarthritis Outcome Score
Time Frame: baseline (post surgery)
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The complete questionnaire consists of five subscales and covers: pain (9 items), symptoms (7 items of which two concern stiffness), functions and activities of daily living (17 items) physical function, sports and leisure activities (5 items) and quality of life in relation to the knee (4 items).
All items of the relevant subscales have the same response mode, use a 5-point Likert scale and each question is assigned a score from 0 to 4, where 0 indicates "no difficulty" and 4 "severe difficulty".)
Score range 0-100 for each subscale.
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baseline (post surgery)
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EuroQol visual analogue scale
Time Frame: baseline (post surgery)
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It is a visual analogue scale that has a range of scores between 0 (worst imaginable health condition) and 100 (best imaginable health condition).
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baseline (post surgery)
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Tegner Score
Time Frame: baseline (post surgery)
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allows one to estimate the motor activity level of a subject with a score between 0 and 10, where 0 represents 'inability' and 10 represents 'participation in competitive sports, such as football at national or international level.
This score is the one most commonly used to define the motor activity level of patients with knee disorders.
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baseline (post surgery)
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(EuroQoL) Current Health Assessment
Time Frame: baseline (post surgery)
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valuable tool for measuring a patient's quality of life
|
baseline (post surgery)
|
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Patient Acceptable Symptom State
Time Frame: baseline (post surgery)
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Valuable tool for assessing patient satisfaction in view of their current degree of pain, function and daily activity
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baseline (post surgery)
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Final assessment of treatment
Time Frame: baseline (post surgery)
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The patient should indicate satisfaction and the relative degree of satisfaction with the treatment after a minimum of 5 years after the infiltrative treatment.
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baseline (post surgery)
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failure question
Time Frame: baseline (post surgery)
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the patient should indicate whether and when a new infiltrative or surgical treatment was performed.
Questions will also be asked about possible complications and re-interventions
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baseline (post surgery)
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Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
General Publications
- Strauss EJ, Galos DK. The evaluation and management of cartilage lesions affecting the patellofemoral joint. Curr Rev Musculoskelet Med. 2013 Jun;6(2):141-9. doi: 10.1007/s12178-013-9157-z.
- Duncan RC, Hay EM, Saklatvala J, Croft PR. Prevalence of radiographic osteoarthritis--it all depends on your point of view. Rheumatology (Oxford). 2006 Jun;45(6):757-60. doi: 10.1093/rheumatology/kei270. Epub 2006 Jan 17.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- CARGEL-LT
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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