MedPath

Comparative Study of the Inclination Angle and Complications of Eccentric Grafts Position in ACL Reconstruction and Normal ACL: Retrospective Cohort

Not Applicable
Completed
Conditions
Anterior Cruciate Ligament Injuries
Interventions
Procedure: Interference screw
Registration Number
NCT04188704
Lead Sponsor
Ramathibodi Hospital
Brief Summary

The anatomic ACL reconstruction aims at functional restoration of the ACL to its native dimensions, collagen orientation and insertion sites. Even if the anatomic foot prints are correctly chosen for the tibial and femoral tunnels does the position of interference screw in the tibial tunnel alter the ACL orientation? The study hypothesized that the position of interference screw in the tibial tunnel would alter the graft orientation in anatomic ACL reconstruction. The purpose of this study was to compare graft orientation and inclination angle with posterolateral and anteromedial interference screw position in tibial tunnel in aperture fixation techniques.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
108
Inclusion Criteria
  • magnetic resonance imaging (MRI) of patients with ACL reconstruction was compared to MRI in which ACL was intact.
  • patients with isolated ACL injury who underwent ACL reconstruction surgery using quadripled hamstrings graft and operated by a single senior surgeon
  • Both pre-operative and post-operative MRI should be available for assessment
  • No history of trauma in the post-operative or rehabilitation period
Exclusion Criteria
  • Concomitant bony or other ligament injury to the same knee
  • history of previous surgery to the same knee
  • Revision ACL reconstruction surgery
  • surgery done at other center or by other doctors at our institute
  • Pre-operative and/or post-operative MRI not available

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Anterior cruciate ligament reconstructionInterference screwAnterior cruciate ligament reconstruction and Position screw fixation
Anterior cruciate ligament normalInterference screwnormal Anterior cruciate ligament reconstruction
Primary Outcome Measures
NameTimeMethod
Inclination angle6 months

Mean anterior cruciate ligament inclination angle in sagital x-ray (degree)

Secondary Outcome Measures
NameTimeMethod
post-operative complications6 months

number of participants with revision, infection, reflex sympathetic dystrophy and re-rupture

© Copyright 2025. All Rights Reserved by MedPath