Efficacy of Nasal Oxygen Therapy to Reduce Postoperative Complications in Ankle Trauma Surgery in At-risk Patients: a Randomized Pilot Study.
TOP-ANK
1 other identifier
interventional
200
1 country
1
Brief Summary
Ankle fractures are one of the most common surgeries in the world. After this kind of surgery, complications can occur, related to the scar or an infection. These complications are more frequent in "high-risk" patients. Nasal oxygen therapy is currently used in order to reduce these complications. However, no study proved its efficiency yet. In a cohort of 200 patients, one group will receive oxygen therapy during hospitalization, while the other will not. Complication rates will be observed up to 6 months after the operation
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_3
Started Apr 2022
Longer than P75 for phase_3
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
December 23, 2021
CompletedFirst Posted
Study publicly available on registry
January 11, 2022
CompletedStudy Start
First participant enrolled
April 9, 2022
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 1, 2026
ExpectedStudy Completion
Last participant's last visit for all outcomes
October 1, 2026
January 14, 2026
January 1, 2026
4.5 years
December 23, 2021
January 13, 2026
Conditions
Outcome Measures
Primary Outcomes (1)
Cutaneous and infectious complications
Post-surgery ankle complications including skin damage (ecchymosis, phlyctena), necrosis, superficial and deep infection and scar disunion
6 months
Secondary Outcomes (21)
Observer Scar Assessment Scale (OSAS questionnaire)
3 weeks after surgery
Observer Scar Assessment Scale (OSAS questionnaire)
6 weeks after surgery
Observer Scar Assessment Scale (OSAS questionnaire)
12 weeks after surgery
Revision surgery
6 months after surgery
Pseudoarthrosis Complication
24 weeks after surgery
- +16 more secondary outcomes
Study Arms (2)
Intervention group (A)
EXPERIMENTALPatients treated with 3 liters per minute oxygen delivered via nasal cannula duration hospitalization
Control group (B)
OTHERNo oxygen therapy during hospitalization
Interventions
administration of oxygen at a flow rate of 3 liters per minute, via nasal cannula throughout the hospitalization.
Eligibility Criteria
You may qualify if:
- Patient over 18 years of age
- Patient with an ankle joint injury with surgical indication
- Patient with at least one risk factor for scar complication such as comorbidity(ies) (diabetes, smoking, peripheral neuropathy, obstructive arterial disease of the lower limbs, microangiopathy, treatment influencing healing (chemotherapy, corticosteroids...)) and/or complex fracture
- Patient affiliated to a social security system
- Patient having signed an informed consent
You may not qualify if:
- Patient with chronic respiratory insufficiency
- Patient with sleep apnea with equipment
- Patient under long term oxygen therapy
- Patient with a bilateral ankle fracture
- Polytrauma patients
- Pregnant or breastfeeding women or those refusing effective contraception
- Patient deprived of liberty or under legal protection (guardianship or curatorship)
- Patient unable to follow the protocol, as judged by the investigator
- Patient refusing to participate in the study
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Nantes University Hospitallead
- Radiometer Medical ApScollaborator
Study Sites (1)
Dr Gadbed
Nantes, France, 44000, France
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
December 23, 2021
First Posted
January 11, 2022
Study Start
April 9, 2022
Primary Completion (Estimated)
October 1, 2026
Study Completion (Estimated)
October 1, 2026
Last Updated
January 14, 2026
Record last verified: 2026-01
Data Sharing
- IPD Sharing
- Will not share