Repair versus reconstruction of proximal anterior cruciate ligament tears

Recruiting

• Conditions: anterior cruciate ligament; knee ligament; 10005942; 10043237; 10005944

• Registration Number: NL-OMON52403
• Lead Sponsor: Academisch Medisch Centrum

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Last Update Posted: 19 August 2024

Recruitment & Eligibility

• Status: Recruiting
• Sex: Not specified
• Target Recruitment: 74

Inclusion Criteria

Preoperative inclusion criteria:
- 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
- Operation within 4 weeks of injury possible

Intra-operative inclusion-criteria:
- Sufficient tissue length for retensioning to femoral insertion
- Sufficient tissue quality to withhold sutures

Exclusion Criteria

Pre-operative exclusion criteria:
- 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 procedures
- 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

Intra-operative exclusion-criteria:
- No complete tear at arthroscopy or only one bundle (AM or PL) with a proximal
tear

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
<p>The primary outcome of this study is the subjective IKDC score [46] which<br /><br>consists of the patients subjective evaluation of their knee function.</p><br>