Standard Surgical Managment: Partial Calcanectomy as standard of care
Study summary
The ACHILLS Trial is a multicentre randomised controlled feasibility study comparing partial calcanectomy with and without the use of an antibiotic-impregnated bone graft substitute (Cerament G) for treating calcaneal osteomyelitis, specifically on wound healing rates, re-infection, and overall efficacy in a sample of 30 patients over a one-year period.
Eligibility
Sex
ALL
Min age
18 Years
Max age
—
Healthy volunteers
No
Inclusion Criteria:
* 18 and over
* Undergoing partial calcanectomy
* Patients with Type1 or Type 2 Diabetes
* Patients will be stratified by Pulse status and eGFR
Exclusion Criteria:
* Patients unfit for surgery
* Patients unable to provide informed consent
* Patients with overwhelming sepsis that require major amputation
* Patients with hypersensitivity to aminoglycosides
* Pre-existing calcium metabolism disorder
* Severe renal impairment
* Patients in whom major limb amputation is deemed inevitable by the treating physician
Primary outcome measure(s)
Rate of Wound Healing — 1 months post-surgery To determine the number of patients achieving complete wound healing in patients undergoing treatment with cerament G compared to those with partial calcanectomy alone by measuring wound volume
Rate of Wound Healing — 3 months post-surgery To determine the number of patients achieving complete wound healing in patients undergoing treatment with cerament G compared to those with partial calcanectomy alone by measuring wound volume
Rate of Wound Healing — 6 months post-surgery To determine the number of patients achieving complete wound healing in patients undergoing treatment with cerament G compared to those with partial calcanectomy alone by measuring wound volume
Rate of Wound Healing — 12 months post-surgery To determine the number of patients achieving complete wound healing in patients undergoing treatment with cerament G compared to those with partial calcanectomy alone by measuring wound volume
Trial sites (1)
Facility
City
Region
Status
University Hospital Galway
Galway
Ireland
Recruiting
More Royal College of Surgeons, Ireland trials in Ireland
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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