Graft selection in anatomic anterior cruciate ligament reconstruction Patella, hamstrings or quadriceps tendon autograft - Graft type

Ziekenhuisgroep Twente0 个研究点目标入组 439 人开始时间: 待定最近更新: 2024年4月23日

适应症

试验速览

暂无简介。

•Patients active in sports, Tegner =/>5
•Primary ACL rupture, evident from anamnesis (acute trauma, snapping sensation, swelling within several hours, feeling of instability), physical examination (positive Lachman test, anterior drawertest and/or pivot shift test), radiograph and MRI
•Willing to comply to the suggested (nationwide standard) rehabilitation protocol, supervised by a NFVS registerd sport-physical therapist
•<6 months between initial trauma and surgery

•History of knee surgery on the same side
•History of tendon removal on the same side
•Accompanying ligament injury of the knee, evident from anamnesis, physical examination, radiograph and MRI, defined as an ACL rupture in combination with a posterior cruciate ligament or collateral ligament injury,
•Peroperative discovery of cartilage damage; larger than 2cm2 and more than 50% depth
•Peroperative discovery of meniscus injury which requires a meniscectomy of more than 20% or meniscus sutures
•Osteoarthritis of Kellgren and Lawrence grade 2 or more, as evident from the radiograph
•Severe malalignment of the leg
•Tendency to form excessive scar tissue, such as arthrofibrosis
•Muscular, neurological or vascular anomalies that influence healingtime or rehabilitation
•Infection
•Known hypersensitivity to any of the used materials
•Long term relevant medication use such as prednisolone or cytostatics
•Pregnancy at the time of inclusion or surgery
•Known osteoporosis

发起方

Ziekenhuisgroep Twente