Anatomic Single Bundle Anterior Cruciate Ligament Reconstruction With a Press-fit Tibial Fixation Technique Using Periosteal - Patellar Tendon - Bone Autograft
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Anterior Cruciate Ligament Rupture
- Sponsor
- Ankara City Hospital Bilkent
- Enrollment
- 150
- Locations
- 1
- Primary Endpoint
- Tegner-Lysholm Scale
- Status
- Recruiting
- Last Updated
- last year
Overview
Brief Summary
This study aims to evaluate the clinical and radiological outcomes of patients undergoing anatomical single-bundle anterior cruciate ligament reconstruction with periosteal-patellar tendon-bone autograft and press-fit tibial fixation technique. The study also aims to compare these outcomes with other reconstruction techniques in the literature. The research investigates the results of a novel surgical technique, providing a minimally invasive and faster rehabilitation for patients undergoing surgery due to anterior cruciate ligament rupture. The technique does not use any screws or staples for tibial fixation, but it carries similar risks as existing techniques. The technique, similar to the well-known bone-patellar tendon-bone (BPTB) autograft technique, creates minimal bone defect at the tibial tuberosity. Over time, the defect remodels and causes minimal clinical discomfort. Despite these limitations, the authors expect patients operated with the investigated new technique to experience less postoperative swelling, less pain, faster mobilization, and earlier rehabilitation.
Investigators
Enejd Veizi, MD
Assistant Professor
Ankara City Hospital Bilkent
Eligibility Criteria
Inclusion Criteria
- •patients who underwent anatomical single-bundle anterior cruciate ligament reconstruction with periosteal - patellar tendon - bone autograft and press-fit tibial fixation technique after anterior cruciate ligament rupture
- •patients with at least 1 year of clinical and radiological follow-up
- •patients who did not undergo a revision
Exclusion Criteria
- •Patients who underwent a secondary arthroscopy for any reason after primary surgery
- •Patients with a history of septic arthritis (before and after the surgery)
- •Those with a history of trauma after primary surgery to the operated knee
- •Patients who have not completed at least 1 year of follow-up
Outcomes
Primary Outcomes
Tegner-Lysholm Scale
Time Frame: Postoperative 1.st year
minimum value:0, maximum value 100, higher values mean better outcome
The Knee injury and Osteoarthritis Outcome Score (KOOS)
Time Frame: Postoperative 1.st year
minimum value:0, maximum value 100, higher values mean better outcome
The International Knee Documentation Committee Score (IKDC)
Time Frame: Postoperative 1.st year
minimum value:0, maximum value 100, higher values mean better outcome
Graft survival
Time Frame: Postoperative 1.st year
Overall graft survival
Secondary Outcomes
- Tunnel widening(Postoperative 1.st year)