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CTRI Number  CTRI/2021/08/035724 [Registered on: 17/08/2021] Trial Registered Prospectively
Last Modified On: 09/08/2021
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia 
Study Design  Single Arm Study 
Public Title of Study   a study of surgical offloading procedures in chronic non-healing diabetic foot ulcers in a tertiary care hospital in puducherry 
Scientific Title of Study   An interventional study of surgical offloading procedures in chronic non-healing diabetic foot ulcers in a tertiary care hospital in puducherry 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Pranav Prem 
Designation  Junior Resident 
Affiliation  Sri Venkateshwaraa Medical College Hospital and Research Centre  
Address  Department of General Surgery Sri Venkateshwaraa Medical College Hospital and Research Centre Ariyur, Puducherry
Department of General Surgery Sri Venkateshwaraa Medical College Hospital and Research Centre Ariyur, Puducherry
Pondicherry
PONDICHERRY
605102
India 
Phone  8870457262  
Fax    
Email  pranavprem2@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr K Selvakumar 
Designation  Associate Professor 
Affiliation  Sri Venkateshwaraa Medical College Hospital and Research Centre  
Address  Department of General Surgery Sri Venkateshwaraa Medical College Hospital and Research Centre Ariyur, Puducherry
Department of General Surgery Sri Venkateshwaraa Medical College Hospital and Research Centre Ariyur, Puducherry
Pondicherry
PONDICHERRY
605102
India 
Phone  9994481131  
Fax    
Email  selvasurgeon@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Pranav Prem 
Designation  Junior Resident 
Affiliation  Sri Venkateshwaraa Medical College Hospital and Research Centre  
Address  Department of General Surgery Sri Venkateshwaraa Medical College Hospital and Research Centre Ariyur, Puducherry
Department of General Surgery Sri Venkateshwaraa Medical College Hospital and Research Centre Ariyur, Puducherry
Pondicherry
PONDICHERRY
605102
India 
Phone  8870457262  
Fax    
Email  pranavprem2@gmail.com  
 
Source of Monetary or Material Support  
Sri Venkateshwaraa Medical College Hospital and Research Centre 
 
Primary Sponsor  
Name  Sri Venkateshwaraa Medical College Hospital and Research Centre 
Address  Sri Venkateshwaraa Medical College Hospital and Research Centre, Ariyur, Pondicherry - 605102 
Type of Sponsor  Private medical college 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Pranav Prem  General Surgery and Plastic Surgery OPD  Sri Venkateshwaraa Medical College Hospital and Research Centre, Ariyur, Pondicherry - 605102
Pondicherry
PONDICHERRY 
8870457262

pranavprem2@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
IEC  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: L896||Pressure ulcer of heel,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Surgical offloading procedure  Percutaneous flexor tenotomy, mini invasive floating metatarsal osteotomy, sesamoidectomy, exostectomy, keller arthroplasty 
Comparator Agent  Wound healing  Patients are followed up for a period of 8 weeks post operatively and wound healing is monitored periodically 
 
Inclusion Criteria  
Age From  35.00 Year(s)
Age To  70.00 Year(s)
Gender  Both 
Details  1)Toe ulcer, forefoot ulcer, midfoot ulcer, hindfoot ulcer
2)Non-healing ulcers
3)Fit for surgery and anaesthesia
4)Controlled blood sugar levels 
 
ExclusionCriteria 
Details  1)Acute infective ulcer
2)Uncontrolled blood sugar levels
3)Associated peripheral vascular disease
4)Underlying cardiac, pulmonary or renal disease 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Decreased pressure in the concerned area and thereby ulcer healing and reduced recurrence  6 months 
 
Secondary Outcome  
Outcome  TimePoints 
Decreased ulcer recurrence  6 months 
 
Target Sample Size   Total Sample Size="40"
Sample Size from India="40" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   20/08/2021 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   NIL 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   Each patient will be enrolled based on the inclusion and exclusion criteria. After getting written informed consent, a detailed history is ellicited and examination is done and all the details will be entered in a pre structured proforma. After performing routinr investigations and pre-operative pedobarogram, pre anaesthetic fitness is obtained and surgical offloading is done. Post operative pedobarogram is done and patient is followed up for a period of 6 months to estimate the healing rate and recurrence. 
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