Repair versus reconstruction of proximal anterior cruciate ligament tears
- Conditions
- Complete tear of the anterior cruciate ligament
- Registration Number
- NL-OMON22748
- Lead Sponsor
- Amsterdam UMC
- Brief Summary
one yet; will be updated accordingly
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Pending
- Sex
- Not specified
- Target Recruitment
- 74
Preoperatively:
- Complete primary anterior cruciate ligament injury on physical examination and MRI
- Tear in proximal quarter on MRI
- Age 18 - 50
- Preinjury Tegner activity level =5 and desired Tegner activity level =5 (otherwise they can be treated non-operatively)
- Operation within 4 weeks of injury
Intraoperatively:
- Sufficient tissue length (proximal tear that can be reattached to insertion site)
- Sufficient tissue quality (to withhold repair sutures)
Preoperatively:
- Complete ipsilateral concomitant knee ligament injury requiring surgery
- Concomitant ipsilateral knee dislocation or patellar dislocation
- Osteoarthritis KL grade =2
- Previous ipsilateral ACL reconstruction/repair
- Intra-articular corticosteroids 6 months prior
- No understanding of Dutch language or not capable of understanding the study and participation
- No preoperative flexion of 90 degrees
- Grade 3 pivot shift indicating gross ligament instability that requires additional proce-dures
- Gross lower leg malalignment requiring bony osteotomies
- Muscular, neurological or vascular diseases that influence rehabilitation or surgery
- Prolonged use medication use of prednison or cytostatics
- Pregnancy during injury or surgery
- Osteoporosis that influence rehabilitation or surgery
Intraoperatively:
- No complete tear at arthroscopy (partial tear or intact ACL) or only partially a proximal tear
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Subjective International Knee Documentation Comitee (IKDC) score at two-year follow-up
- Secondary Outcome Measures
Name Time Method