Comparison of Primary Anterior Cruciate Ligament Repair With and Without Lateral Extraarticular Tenodesis for Proximal ACL Tears: A Prospective Study
Overview
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Prof. Dr. Cemil Tascıoglu Education and Research Hospital Organization
- Enrollment
- 38
- Locations
- 1
- Primary Endpoint
- Comparison of functional outcomes between two groups of patients who underwent ACL repair surgery with or without lateral extraarticular tenodesis (LET) with International Knee Documentation Committee (IKDC).
Overview
Brief Summary
The investigators aimed to compare the clinical results of primary repairs and Lateral Extraarticular Tenodesis applied with primary repairs in the treatment of proximal ACL tears.
Detailed Description
The investigators aimed to compare the clinical results of primary repairs and Lateral Extraarticular Tenodesis applied with primary repairs in the treatment of proximal ACL tears.The aim of this study was to determine the potential for improvement with the primary repair of acute ACL tears with the proximal tear, which may be an important advance for improvements in proprioception and preservation of natural kinematics.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- 21 Years to 40 Years (Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •patients who underwent surgery within the first 3 weeks after injury
- •between the ages of 21-40 years,
- •attended regular follow-up visits,
- •Sherman type 1 proximal ACL tear with relatively preserved synovial sheath
- •Sufficient tissue length for re-stretching.
Exclusion Criteria
- •torn ACL in the mid and distal region,
- •torn synovial sheath,
- •inability to undergo intrasubstance suturing,
- •poor tissue quality with retraction,
- •multiple ligament injuries and accompanying intra-knee pathologies (meniscal damage, chondral damage),
- •previous knee surgery,
- •rheumatologic diseases
Outcomes
Primary Outcomes
Comparison of functional outcomes between two groups of patients who underwent ACL repair surgery with or without lateral extraarticular tenodesis (LET) with International Knee Documentation Committee (IKDC).
Time Frame: 24 months
The outcomes were evaluated using various measures, including the International Knee Documentation Committee (IKDC). The IKDC is a patient-completed tool, which contains sections on knee symptoms (7 items), function (2 items), and sports activities (2 items). Scores range from 0 points (lowest level of function or highest level of symptoms) to 100 points (highest level of function and lowest level of symptoms)
Comparison of functional outcomes between two groups of patients who underwent ACL repair surgery with or without lateral extraarticular tenodesis (LET) with Tegner-Lysholm scoring system.
Time Frame: 24 months
The outcomes were evaluated using various measures, including theTegner-Lysholm scoring system. The Tegner Lysholm scale consists of eight items with each question response being assigned an arbitrary score on an increasing scale. The total score is the sum of each response to the eight questions and may range from 0-100 where higher scores indicate a better outcome with fewer symptoms or disability.
Secondary Outcomes
No secondary outcomes reported
Investigators
Bulent KARSLIOGLU
Orthopedics and Traumatology specialist,Chief assistant
Prof. Dr. Cemil Tascıoglu Education and Research Hospital Organization