Clinical Trial: Study of Two Surgical Drilling Techniques to Treat Juvenile Osteochondritis Dissecans of the Knee

Study Status: Recruiting
Recruit Status: Recruiting
Study Type: Interventional

Official Title: Retro Versus Trans Articular Drilling for Juvenile Osteochondritis Dissecans of the Knee: A Multicenter, Randomized Controlled Trial

Brief Summary: The purpose of this study is to compare the functional, clinical and radiographic outcomes associated with trans-articular drilling versus retro-articular drilling, two commonly employed techniques of operative treatment for stable forms of juvenile osteochondritis dissecans (JOCD) lesions. This study also aims to better define the natural history of this condition in its most commonly identified pathological state (as a stable lesion) following surgical intervention by determining the rate of radiographic healing and any need for secondary surgery.

Detailed Summary:
Sponsor: Boston Children’s Hospital

Current Primary Outcome: Physical functioning measured by the Pedi-IKDC (International Knee Documentation Committee) total score [ Time Frame: One year post-surgery ]

Original Primary Outcome: Physical functioning measured by the Pedi-IKDC total score [ Time Frame: One year post-surgery ]

Current Secondary Outcome:

  • Activity level as measured by the Marx Activity Scale [ Time Frame: One year post-surgery ]
  • Physical functioning as measured by the Pedi-IKDC total score [ Time Frame: Two years post-surgery ]
  • Time to lesion healing [ Time Frame: 3 months to 2 years post-surgery ]
    Lesion healing will be assessed by x-ray at multiple time points


Original Secondary Outcome: Same as current

Information By: Boston Children’s Hospital

Dates:
Date Received: December 16, 2012
Date Started: November 2012
Date Completion: April 2019
Last Updated: December 1, 2016
Last Verified: December 2016