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The effect of knee position at the time of anatomic anterior cruciate ligament graft tensioning on post-operative knee extension and anterior tibial translatio

Not Applicable
Completed
Conditions
Musculoskeletal - Other muscular and skeletal disorders
Injuries and Accidents - Other injuries and accidents
Anterior cruciate ligament tear
Anterior cruciate ligament reconstruction
Surgery - Surgical techniques
Registration Number
ACTRN12620000819921
Lead Sponsor
Orthopaedic Research Institute of Queensland
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
22
Inclusion Criteria

Patients scheduled to undergo Anterior Cruciate Ligament Reconstructions under the care of the investigating surgeons
Patients with an isolated ACL injury
Male and female
Age 16 - 90
Able to provide informed consent
Patients with BMI < 40

Exclusion Criteria

Patients with ligament injuries other than ACL injury (determined from magnetic resonance imaging and clinical review)
Patients with previous knee surgery in operative knee
Patients with BMI > 40
Patients who are pregnant or planning to become pregnant during the course of the study
Patients unable to provide informed consent

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Quantify the loss of extension associated with tensioning the ACL graft with the knee in full extension versus in flexion. Preoperative extension and flexion of operative and non-operative knee will be assessed under anaesthesia using a digital inclinometer. Using computer navigation intraoperatively, the knee extension range and tibiofemoral rotation in full extension will be measured. Post operative assessments will be repeated using the same assessment method as performed preoperatively.[Day 0 (Day of surgery)]
Secondary Outcome Measures
NameTimeMethod
To quantify the anterior laxity of the knee after ACL reconstruction and assess whether the native knee laxity has been restored (by comparing with the non-operative knee). Preoperative anterior tibial translation (of both knees) will be performed using a Rolimeter). Post operative assessments will be repeated using the same assessment method as performed preoperatively.[Day 0 (Day of Surgery)];To quantify the rotational constraint of the knee after ACL reconstruction and assess whether the native rotational constraint has been restored (by comparing with the non-operative knee). On the operative limb, graded pivot shift test will be performed preoperative and immediately post-operative.[Day 0 (Day of Surgery)]
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