Repair versus reconstruction of proximal anterior cruciate ligament tears: a multicenter randomized controlled trial

Amsterdam UMC0 个研究点目标入组 74 人开始时间: 待定最近更新: 2024年6月11日

试验速览

one yet; will be updated accordingly

•Preoperatively:
•- Complete primary anterior cruciate ligament injury on physical examination and MRI
•- Tear in proximal quarter on MRI
•- Age 18 - 50
•- Preinjury Tegner activity level =5 and desired Tegner activity level =5 (otherwise they can be treated non-operatively)
•- Operation within 4 weeks of injury
•Intraoperatively:
•- Sufficient tissue length (proximal tear that can be reattached to insertion site)
•- Sufficient tissue quality (to withhold repair sutures)

•Preoperatively:
•- Complete ipsilateral concomitant knee ligament injury requiring surgery
•- Concomitant ipsilateral knee dislocation or patellar dislocation
•- Osteoarthritis KL grade =2
•- Previous ipsilateral ACL reconstruction/repair
•- Intra-articular corticosteroids 6 months prior
•- No understanding of Dutch language or not capable of understanding the study and participation
•- No preoperative flexion of 90 degrees
•- Grade 3 pivot shift indicating gross ligament instability that requires additional proce-dures
•- Gross lower leg malalignment requiring bony osteotomies
•- Muscular, neurological or vascular diseases that influence rehabilitation or surgery
•- Prolonged use medication use of prednison or cytostatics
•- Pregnancy during injury or surgery
•- Osteoporosis that influence rehabilitation or surgery
•Intraoperatively:
•- No complete tear at arthroscopy (partial tear or intact ACL) or only partially a proximal tear

发起方

Amsterdam UMC