ClinicalTrials.gg
RecruitingNCT07188363AnkleCDSUpdated Jan 6, 2026

French Ankle Ligament Surgery Cohort Study

An observational study in Ankle (Ligaments); Instability (Old Injury), Ankle Ligament Rupture and Ankle Instability, sponsored by Chirurgie Du Sport. Recruiting at 1 site in France. Open to participants aged 7 Years and older. Per ClinicalTrials.gov, last updated 2026-01-06.

Sponsored by Chirurgie Du Sport · Observational

From the registry’s dates

  • Started Sep 2022; still recruiting 4 years 2 months later.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
5,000
Ages
7 Years and older
Sex
All
01

Study summary

This 20-year cohort study foolows patients after ankle ligament reconstruction surgery to evaluate re-rupture rates, long term functional outcomes, return to sport rates ans complications? The goal is to provide insights into the procedure's durability and effectiveness to enhance patient care.

Read the detailed description

This study is a long term cohort analysis involving patient who have undergone ankle ligament reconstruction surgery (ligamentoplasty). The goal is to follow these patients over 20 year period to assess several important outcomes. Specifically, the study aims to evaluate the rate of re-ruptures, the rates and quality of return to sport, long term functional outcomes using validated scoring systems and the incidence of complications related to the procedure.

By collecting detailed and consistent data over two decades, the research seeks to provide valuable insights into the durability and effectiveness of ankle ligament reconstruction surgery, contributing to a better understanding and improved care for patients

02

Conditions studied

  • Ankle (Ligaments); Instability (Old Injury)
  • Ankle Ligament Rupture
  • Ankle Instability
  • Syndesmotic Injury

Keywords

  • ankle
  • ligamentoplasty
  • surgery
  • orthopedy
  • FHL
  • rupture
  • ligament
  • syndesmosis
  • instability
  • retensioning
  • flexor hallucic longus
03

In context

Ankle Injuries

350 studies on the registry are indexed under Ankle Injuries; 74 are open to participants now.

This study's planned enrollment of 5,000 is above the median of 84 across 73 observational studies indexed under Ankle Injuries.

Browse Ankle Injuries studies →

Lead sponsor

Chirurgie Du Sport is the lead sponsor of 3 studies on the registry; 3 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
7 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients enrolled ine the Ankle CDS cohort by one of the surgeons of the Chirurgie du Sport and meeting eligibility criteria

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Retensioning, ankle ligament reconstruction or syndesmosis repair surgery

Exclusion criteria

Exclusion Criteria:

  • Patient refusal
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
5,000 participants (estimated)
Target follow-up
20 Years
Patient registry
Yes

Interventions

  • ProcedureLigament reconstruction

    Retensioning involves restoring the tension in a ligament or soft tissue that has become lax, often due to injury or joint instability. This technique is typically used for ligaments that do not require complete reconstruction but have lost their functional tension. Ligament reconstruction is a surgical procedure to replace or repair a damaged ligament, often using grafts (autografts or allografts). It aims to restore joint stability and function, particularly in cases of significant ligament damage or rupture. Syndesmosis surgery involves repairing or reconstructing the fibrous joint between two bones (e.g., the tibia and fibula). It may involve screw fixation, suture-button devices, or grafts to restore the alignment and stability of the syndesmosis.

    Also known as: Syndesmosis, Retensioning

06

What researchers measure

Primary outcomes

  1. Recurrence of a ligament tear

    Time frame: From the surgery to the end of the study (20years of follow-up for each patient)

Secondary outcomes

  1. Return to sport

    Return to sport after surgery with the level of return, the type of sport and the delay. Questions regarding the return to sport at 6 months, 1 year, 2 years and every 2 years

    Time frame: From the surgey to the end of follow up (20 years)

  2. Visual Analogue Scale

    The VAS score (Visual Analogue Scale) is a simple and widely used method for assessing subjective experiences, such as pain intensity, fatigue, or discomfort. It typically consists of a horizontal or vertical line, usually 10 cm in length, with endpoints representing the extremes of the experience being measured: 0: "No pain" (or "no discomfort"). 10: "Worst pain imaginable" (or "maximum discomfort") Evaluated during the 3 first days after surgery, at 6 months, 1 year, 2 years and every 2 years

    Time frame: From the surgery to the and of the follow-up (20 years for each patient)

  3. Ankle Ligament Reconstruction - Return to Sport Injury score

    The ALR-RSI (Ankle Ligament Reconstruction - Return to Sport Injury) score is used to assess the patient's psychological state and apprehension regarding their return to sports activities. The score ranges from 0% (the lowest level of psychological readiness) to 100% (the highest level of psychological readiness). Questionnairy at 6 months, 1 year, 2 years and every 2 years

    Time frame: From the surgery to the end of foolow-up (20 years for each patient)

  4. Foot and Ankle outcome score

    Foot and Ankle outcome score is used to evaluate the patient's functional abilities, symptoms, and quality of life related to ankle and foot conditions. The FAOS (Foot and Ankle Outcome Score) is a 42-item questionnaire comprising five subscales: pain (9 items), other symptoms (7 items), activities of daily living (ADL) (17 items), sports/recreation (5 items), and quality of life (4 items). Each question is rated on a 5-point Likert scale (none, mild, moderate, severe, and extreme problems) from 0 to 4. The score for each subscale is calculated by summing all the individual scores within the subscale and dividing the result by the maximum possible score for that subscale. The normalized score is then converted to a scale of 0 to 100, where 100 indicates no problems and 0 indicates severe problems. Measured at 6 months, 1 year, 2 years and every 2 years.

    Time frame: From the surgey to the end of follow-up (20 years of follow-up for each patient)

  5. Cumberland Ankle Instability Tool (CAIT)

    The questionnaire consists of 9 questions that the patient answers independently, evaluating ankle pain, subjective instability during activities such as running or hopping, and the ankle's ability to handle twisting episodes. The responses to the nine questions are summed to produce a total score ranging from 0 to 30 points. A higher score indicates better ankle stability. Measured at 6 months after surgery, 1 year, 2 years and every 2 years

    Time frame: From the surgery to the end of the follow-up (20 years for each patient)

  6. Foot an Ankle Ability Measure

    Foot and Ankle Ability Measure (FAAM) is a tool designed to assess a patient's functional abilities and symptoms specifically related to their foot and ankle during daily activities and sports. It consists of two subscales: Activities of Daily Living (ADL): 21 items. Sports: 8 items. Each item is rated on a 5-point Likert scale: 4 = No difficulty 3 = Slight difficulty 2 = Moderate difficulty 1 = Extreme difficulty 0 = Unable to perform Scoring : Add the scores for all items within the subscale to calculate the total item score. Multiply the total number of answered items by 4 to determine the highest potential score (e.g., 84 for ADL and 32 for Sports if all items are answered). Divide the total item score by the highest potential score and multiply by 100. This gives the FAAM score, which ranges from 0% (lowest function) to 100% (highest function). Interpretation : A higher score indicates a greater level of physical function. Measured at 6 months, 1 year, 2 years and every 2 years

    Time frame: From the surgery to the end of follow-up (20 years for each patient)

  7. Complications

    Complications of the surgery recorded or re-operations : - Removal of hardware - Infection -Hematoma -Further ankle stabilization -Cartilage surgery -Arthrodesis -Ankle prosthesis

    Time frame: From the surgery to the end of follow-up (20 years for each patient)

07

Study locations

1 of 1 sites recruiting
  • Chirurgie du Sport
    Paris, Paris 75005, France
    Recruiting
    • Alexandre HARDY, MD · Contactalexandre.hardy@me.com · 0615101016
    • Alexandre Hardy, MD · Principal investigator
    • Nicolas Lefevre, MD · Sub investigator
    • Yoann Bohu, MD · Sub investigator
    • Antoine Gerometta, MD · Sub investigator
    • Olivier Grimaud, MD · Sub investigator
    • Alain Meyer, MD · Sub investigator
    • Frederic Khiami, Professor · Sub investigator
    • Gregoire Rougereau, MD · Sub investigator
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Sep 2022 (actual). Primary completion is estimated for Aug 2042, 239 months after the start.

Of 34 non-industry observational studies under Ankle Injuries, half reached primary completion within 11 months of starting (the median), counting those still running; a quarter within 5 and three quarters within 45. This study's planned 239 months is above that.

Counting every sponsor, half of 38 studies reached it within 11 months; a quarter within 5 and three quarters within 45.

How these figures are worked out, and which studies are left out of them.

Registered
Sep 16, 2025
First posted
Sep 23, 2025
StartActual
Sep 1, 2022
Primary completionEst.
Aug 30, 2042
CompletionEst.
Aug 30, 2062
Last update
Jan 6, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jan 6, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT07188363
Lead sponsor
Chirurgie Du Sport
Responsible party
HARDY Alexandre (Surgeon, Chirurgie Du Sport) — Principal investigator
First posted
Sep 23, 2025
Start date
Sep 1, 2022
Primary completion
Aug 30, 2042 (estimated)
Completion
Aug 30, 2062 (estimated)
Last update
Jan 6, 2026

Study contacts

Alexandre Hardy, MD
principal investigator · Chirurgie Du Sport

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Interested in this study?

Eligibility is decided by the study team. Share this record with your doctor or contact the team directly.

No contact was published for this record. The registry link below has the sponsor’s details.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion