Comparison of Femoral Tunnel and Clinical Outcome Using Two Anterior Cruciate Ligament Reconstruction Techniques
Comparison of Femoral Tunnel Placement, Geometry and Clinical Outcome Using Two Anterior Cruciate Ligament Reconstruction Technique; Transportal Technique and Outside in Technique With Remnant Preservation. Prospective Randomized Trial
1 other identifier
interventional
67
1 country
1
Brief Summary
- Double bundle transportal technique with flexible reamer: 33
- Single bundle outside in technique with remnant preservation: 33
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started May 2014
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
May 1, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 1, 2014
CompletedFirst Submitted
Initial submission to the registry
February 22, 2015
CompletedFirst Posted
Study publicly available on registry
April 28, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2017
CompletedResults Posted
Study results publicly available
December 20, 2019
CompletedDecember 20, 2019
December 1, 2017
Same day
February 22, 2015
May 7, 2019
December 3, 2019
Conditions
Outcome Measures
Primary Outcomes (1)
Vascularity of Graft Tendon
For evaluation of graft vascularity, quantitative parameter of area under the curve (AUC) was measured from DCE-MRI by using an image-processing software (IntelliSpace Portal, version 5.0; Philips Healthcare). A musculoskeletal radiologist manually drew the ROIs for intra-articular portion of the ACL graft including synovial membrane at the proximal, middle and distal zones. The software automatically generated time to signal intensity curves and then calculated the quantitative parameter, area under the time to signal intensity curve values, which were acquired by integrating the area under the time to signal intensity curve. To normalize the AUC (nAUC), we divided the AUC of medial gastrocnemius muscle into that of the ACL graft.
1yr after surgery
Secondary Outcomes (4)
Arthroscopy Grading
1yr after surgery
Clinical Knee Scoring
2 yr after surgery
Instability
2 yr after surgery
Graft Maturity (SNQ)
1 yr after surgery
Study Arms (2)
Transportal
EXPERIMENTALthis is a type of anterior cruciate ligament reconstruction. this arm for patients who underwent operation with transportal technique
Outside in
EXPERIMENTALthis is a type of anterior cruciate ligament reconstruction. this arm for patients who underwent operation with patients who underwent operation with outside in technique
Interventions
comparison of different types of anterior cruciate ligament reconstruction. transportal technique is double bundle graft using flexible reamer, outside-in technique is single bundle graft with remnant preservation
Eligibility Criteria
You may qualify if:
- Lachman test grade II,III and Pivot shift test grade II,III in physical examination
- ACL rupture in MRI
- Age 20\~60
- within 6 months after trauma
You may not qualify if:
- osteoarthritis (OA) change in X-ray
- History of other ligament injury or ACL reconstruction in uninjured knee.
- operation history of either ipsilateral or contralateral knee(fracture, etc)
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Samsung Medical Center
Seoul, 06351, South Korea
Related Publications (1)
Wang JH, Lee ES, Lee BH. Paradoxical tunnel enlargement after ACL reconstruction with hamstring autografts when using beta-TCP containing interference screws for tibial aperture fixation- prospectively comparative study. BMC Musculoskelet Disord. 2017 Sep 16;18(1):398. doi: 10.1186/s12891-017-1757-0.
PMID: 28915914DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Limitations and Caveats
Technical problems with measurement leading to unreliable or uninterpretable data
Results Point of Contact
- Title
- Wang, JoonHo
- Organization
- Samsung Medical Center
Study Officials
- STUDY CHAIR
Joon Ho Wang, MD, Ph D
Samsung Medical Center
Publication Agreements
- PI is Sponsor Employee
- No
- Restrictive Agreement
- No
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
February 22, 2015
First Posted
April 28, 2016
Study Start
May 1, 2014
Primary Completion
May 1, 2014
Study Completion
December 1, 2017
Last Updated
December 20, 2019
Results First Posted
December 20, 2019
Record last verified: 2017-12
Data Sharing
- IPD Sharing
- Will not share
if yes, age, sex, physical examination, trauma date, MRI.