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临床试验/NCT02111759
NCT02111759Unknown不适用

The Effect of Knee Flexion Angle for Graft Fixation During Single-Bundle Anterior Cruciate Ligament Reconstruction - A Multicentre, Patient and Assessor Blinded, Stratified, Two-arm Parallel Group Superiority Trial

University of Toronto Orthopaedic Sports Medicine2 个研究点 分布在 1 个国家目标入组 204 人开始时间: 2014年5月1日最近更新:
适应症

试验速览

阶段
不适用
发起方
入组人数
204
试验地点
2
主要终点
Knee Injury and Osteoarthritis Outcome Score (KOOS)

研究概览

简要总结

The purpose of this study is to conduct a randomized controlled trial to determine if the knee flexion angle (KFA) during anterior cruciate ligament reconstruction (ACLR) graft fixation has an effect on postoperative outcomes. The specific research questions are: what is the effect of the KFA on 1) patient-reported outcomes; 2) postoperative extension loss; 3) antero-posterior (AP) knee stability; 4) rate of re-operation.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
Double (Participant, Outcomes Assessor)

入排标准

年龄范围
16 Years 至 —(Child, Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Male and female patients older than 16 years old with an isolated anterior cruciate ligament injury as diagnosed by clinical examination and MRI
  • No pre-existing arthritis as defined by the Kellgren-Lawrence radiographic rating system
  • Patients treated with an initial period of rehabilitation to eliminate swelling, optimize quadriceps strength and restore range of motion
  • surgical management with a transtibial or anteromedial portal single-bundle ACLR with bone patella tendon bone (BPTB) autograft by a fellowship-trained sports medicine surgeon.

排除标准

  • Acute ACL injuries that have not undergone an initial period of physical therapy in order to restore the aforementioned parameters
  • Associated grade III injury to the MCL (medial opening >10mm at 30 degrees of knee flexion or any medial opening in extension)
  • Presence of a PCL or posterolateral corner injury
  • Lack of informed consent.

结局指标

主要结局

Knee Injury and Osteoarthritis Outcome Score (KOOS)

时间窗: 24 months postoperatively

次要结局

  • Side to side differences in anterior-posterior (AP) stability(3, 6, 12, and 24 months)
  • KOOS scores(3, 6, and 12 months)
  • Marx Activity Score (MAS)(3, 6, 12, 24 months)
  • the degree of extension loss in the affected knee (vs. contralateral knee)(3, 6, 12, and 24 months)

研究者

发起方
University of Toronto Orthopaedic Sports Medicine
申办方类型
Other
责任方
Principal Investigator
主要研究者

Jaskarndip Chahal

Principal Investigator

University of Toronto Orthopaedic Sports Medicine

研究点 (2)

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