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In vivo analysis of tibial rotation after anatomical versus trans-tibial anterior cruciate ligament reconstruction surgery

Conditions
movement analysis
10043237
Anterior Cruciate Ligament
Registration Number
NL-OMON39154
Lead Sponsor
niversiteit Maastricht
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Pending
Sex
Not specified
Target Recruitment
80
Inclusion Criteria

Universal Inclusion criteria;* Age 18-40 years
* Able to understand and speak the Dutch or English language ;Healthy Control group
Specific inclusion criteria
* No history of knee ligament or meniscal injury

ACL Deficient Group
Patients with a unilateral ACL rupture, verified by the patients* history, a positive Lachman test and MRI or arthroscopy, are candidates to participate in the ACL deficient group this study
Specific inclusion criteria
* Diagnosed ACL rupture with MRI or surgical knee arthroscopy
* Primary ACL rupture
Transtibial Reconstruction group
We will recruit patients that have received transtibial ACL reconstruction from Orbis Medisch Centrum and Atrium MC
Inclusion criteria
* Received transtibial ACL reconstruction minimally one year ago. We*ve chosen this cut-off point due to the risks of graft loosening or re-rupture in patients that have not fully completed their rehabilitation program which takes about 9 to 12 months.

Anatomical Reconstruction group
We will recruit patients that have received anatomical ACL reconstruction from Maastricht University Medical Centre (MUMC) and Atrium MC
Inclusion criteria
* Received anatomical ACL reconstruction minimally one year ago. The cut off points was chosen for the same reason as in the transtibial group.

Exclusion Criteria

Universal Exclusion criteria
* Not able and willing to sign informed consent
* BMI > 30;ACL deficient group
Specific exclusion criteria
* Ligament injury to the contralateral knee ;Transtibial Reconstruction group
Exclusion criteria
* Ligament injury to the contralateral knee ;Anatomical Reconstruction group
Ligament injury to the contralateral knee

Study & Design

Study Type
Observational non invasive
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
<p>Primary Objective/endpoint<br /><br>Our first outcome of interest will be the tibial rotation excursion. This is<br /><br>the graph which we can draw from our gait analysis system which measures the<br /><br>position of the tibia in relation to that of the femur and allows us to see the<br /><br>angle of rotation. </p><br>
Secondary Outcome Measures
NameTimeMethod
<p>Secondary Objective/endpoint<br /><br>Additionally we keep track of our patients well being and satisfaction with the<br /><br>procedure through several questionnaires. We will use the following<br /><br>questionnaires that have been recommended by the NOV (Nederlandse Orthopeden<br /><br>Vereniging, 2011)<br /><br>* International Knee Documentation Committee (IKDC) (0-100)<br /><br>* Knee Injury and Osteoarthritis Outcome Score (KOOS) (0-100)<br /><br>* Tegner Score (0-10)<br /><br>We will perform several clinical tests to assess stability.<br /><br>* Lachman (mild-moderate-severe)<br /><br>* Anterior drawer (mild-moderate-severe)<br /><br>* Pivot shift (positive-negative) </p><br>
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