Transtibial Versus Anteromedial Femoral Tunnel Technique in ACL Reconstruction

Not Applicable

Completed

• Conditions: Anterior Cruciate Ligament Reconstruction
• Interventions: Procedure: Femoral tunnel creation

• Registration Number: NCT02633410
• Lead Sponsor: Panam Clinic

Brief Summary

The anteromedial (AM) portal technique was introduced to position the femoral tunnel in anterior cruciate ligament (ACL) reconstruction to more closely replicate the original footprint compared to the transtibial (TT) approach.1-5 Few randomized trials have evaluated differences in these techniques with respect to clinical outcomes. The purpose of this study was to determine if there are any differences in clinical outcome between the AM and TT approaches.

Detailed Description

The anteromedial (AM) portal technique was introduced to position the femoral tunnel in anterior cruciate ligament (ACL) reconstruction to more closely replicate the original footprint compared to the transtibial (TT) approach.1-5 Few randomized trials have evaluated differences in these techniques with respect to clinical outcomes. The purpose of this study was to determine if there are any differences in clinical outcome between the AM and TT approaches.

Study Timeline

• Study Start: 2007-07
• Primary Completion: 2015-07
• Study Completion: 2015-07
• Status Verified: 2015-12
• Study First Submitted: 2015-12-15
• Study First Submitted QC: 2015-12-16
• Last Update Submitted: 2015-12-16
• Study First Posted: 2015-12-17
• Last Update Posted: 2015-12-17

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 96

Inclusion Criteria

• sustained a complete ACL tear and had no other ligament injuries requiring surgical intervention

Exclusion Criteria

• concomitant collateral ligament tears
• significant chondromalacia (based on diagnostic imaging)
• previous lower limb surgery
• significant injury to either lower limb requiring surgery
• history of arthritis
• were unable to comply with rehabilitation protocols or study follow-ups
• were pregnant females or had other medical conditions which precluded participation.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Transtibial	Femoral tunnel creation	Transtibial technique used to create femoral tunnel
Anteromedial	Femoral tunnel creation	Anteromedial technique used to create femoral tunnel

Primary Outcome Measures

Name	Time	Method
Anterior cruciate ligament quality of life	24-months postoperative

Secondary Outcome Measures

Name	Time	Method
Knee range of motion	24-months post-operative
KT-1000	24-months post-operative