CT Evaluation of ACL Anatomical Reconstruction
- Conditions
- ACL Tear
- Interventions
- Radiation: CT
- Registration Number
- NCT06575543
- Lead Sponsor
- Assiut University
- Brief Summary
Our research is to evaluate the position and length of femoral tunnel, and to examine whether knee stability and clinical functional outcomes are better while using two-portal or three-portal technique .
- Detailed Description
Arthroscopic anterior cruciate ligament (ACL) reconstruction is one of the most often performed orthopedic surgeries . Restoration of normal anatomy after ACL reconstruction is related to achieve better function and a satisfactory long-term outcomes. The principles for anatomical ACL reconstruction are to functionally reestablish the ACL to its native dimensions, collagen orientation and insertion sites . The basis for the completion of these principles lies in the correct identification of the insertion sites. The conventional 2-portal technique uses the anterolateral portal as the viewing portal and the anteromedial portal as the working portal. the 3-portal technique allows interchangeable use of the portals as a viewing and working portals depending on the specific task that is being performed. The internal joint anatomy, as soft tissue remnants and bony landmarks, should guide the placement of the portals in ACL anatomical reconstruction and that each of the portals has a specific role during ACL anatomical reconstruction . So does the improved visualization through 3-portal technique compared to 2-portal technique have an impact on femoral tunnel position ?
Recruitment & Eligibility
- Status
- NOT_YET_RECRUITING
- Sex
- All
- Target Recruitment
- 72
- Age ( 16 - 50 ) .
- Isolated ACL tear with or without meniscal inj
- Patient who have undergone ACL reconstruction in the last 5 years in Arthroscopy and sports injuries unit .
- 1- Age ( < 16 ) 2- Patient with multi ligamentous inj . 3- Revision ACL tear .
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Arm && Interventions
Group Intervention Description 2 portal group CT The conventional 2-portal technique uses the anterolateral portal as the viewing portal and the anteromedial portal as the working portal 3 portal group CT the 3-portal technique allows interchangeable use of the portals as a viewing and working portals depending on the specific task that is being performed
- Primary Outcome Measures
Name Time Method Ct evaluation 1 day after surgery 3D CT scan have been used to evaluate the tunnels location after ACL reconstruction, as they can provide excellent perspective of the tunnel aperture, good visualization of bony structure and shape of the intercondylar notch, that preclude the use of a conventional 2-dimensional CT scan for measurement of the ACL tunnels location
- Secondary Outcome Measures
Name Time Method Clinical Examination &amp; Functional scores at least 2 years after surgery - KOOS ( Knee Injury \&amp; Osteoarthritis Outcome ) The KOOS's five patient-relevant dimensions are scored separately: Pain (nine items); Symptoms (seven items); ADL Function (17 items); Sport and Recreation Function (five items); Quality of Life (four items). A Likert scale is used and all items have five possible answer options scored from 0 (No problems) to 4 (Extreme problems) and each of the five scores is calculated as the sum of the items included. Scores are transformed to a 0-100 scale, with zero representing extreme knee problems and 100 representing no knee problems as common in orthopaedic scales and generic measures. Scores between 0 and 100 represent the percentage of total possible score achieved.
Trial Locations
- Locations (1)
Assiut University
🇪🇬Assiut, Egypt