Comparison of Arthroscopic Anterior Cruciate Ligament reconstruction by two methods, all inside and outside in method.
- Conditions
- Other intraoperative and postprocedural complications and disorders of musculoskeletal system, not elsewhere classified,
- Registration Number
- CTRI/2019/02/017375
- Lead Sponsor
- ALL INDIA INSTITUTE OF MEDICAL SCIENCES BHUBANESWAR
- Brief Summary
ACL tear represents one of the most commonsports related injury in the young population. Arthroscopic ACL reconstructionis popular since last 20 years. In last 20 years the commonly method used wasoutside in technique. There is evolution of another method since last 7 yearsknown as all inside technique. But its clinical use was evident since last 2years. Some features in this technique include closed socket tunnel, dualsuspensory graft fixation, better hold, decreased bone removal and small skinincision. Due to smaller incision there is less swelling and hematomaformation, besides it can be done with 4mm incision if an allograft is used forgraft preparation.Traditional ACL reconstruction techniques involve drilling of a tunnel from theouter tibial cortex into the proximal tibia and knee joint. Through this tunnelthe ACL graft is inserted and securely fixed into the tibia. This tibial tunnelis a significant source of pain following ACL surgery as the periosteum overthe tibial cortex is sensitive and a violation of this area is similar to thepain experienced with a fracture. In literature there are few studies comparingboth the methods in terms of functional outcomes but are not sufficient toconclude the best technique out of the two. We presume some more studies arerequired to validate the superiority of one over the other. Our study aims tofind out the better technique among both in a developing country like India ata tertiary care hospital.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Not Yet Recruiting
- Sex
- All
- Target Recruitment
- 44
- Patients with symptoms of knee pain or instability who are diagnosed as having ACL tear after clinical examination and confirmed with radiological investigations and diagnostic arthroscopy. 2.
- Patients who have tried conservative treatment with hamstring exercises and failed to improve or improved partially 3.
- Active, motivated patients aged between 20 to 60 years and belonging to either sex who are involved in heavy physical activities or athletic activities or patients who are unwilling to modify their present active life style 4- Associated with medial or lateral meniscus tear injuries. 5.
- Patients who have recovered from the acute inflammatory stage of injury with return of full range of knee motion and decrease in swelling which usually takes 4 to 6 weeks.
- 1-Patients who are not falling in the above age group 2-Patients with associated injuries of lower limb (bony injuries or injuries involving other ligaments) and injury to spine 3-Patients who have radiological evidence of Grade III or IV osteoarthritis knee (Kellegren and Lawrence grading) 4- Patients requiring revision ACL reconstruction.
- 5- Patients with stiff knee or restricted range of motion 6-Patients having local skin lesion which is not amenable to any intervention 7- Patients who are not fit to undergo surgery from anesthesia point of view 8- Patients who are unwilling to give consent for surgery.
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method To compare the functional outcome in terms of VAS score and lysholm score following surgery using all inside and outside in technique using endo button and bio screw. patients will be evaluated at 2 days,5 days,2 weeks 6 weeks and 3 months
- Secondary Outcome Measures
Name Time Method To compare the results and outcome of arthroscopic ACL reconstruction using all inside technique using adjustable loop with endobutton and outside in technique using endobutton and bio screw in terms of 1-post operative pain
Trial Locations
- Locations (1)
ALL INDIA INSTITUTE OF MEDICAL SCIENCES
🇮🇳Khordha, ORISSA, India
ALL INDIA INSTITUTE OF MEDICAL SCIENCES🇮🇳Khordha, ORISSA, IndiaDR PAULSON VARGHESEPrincipal investigator9746189840paulguvera@gmail.com