Risk Factor of Anterior Cruciate Ligament Rupture After Ligamentoplasty : What is the Importance of a Relative Deficit of Contralateral Hamstrings Assessed by Isokinetic in Postoperative ?

NCT03668210 | Completed

• 1 other identifier: 35RC17_3074
• Study Type: observational
• Target: 141
• Locations: 1 country
• Sites: 1

Brief Summary

Anterior cruciate ligament (ACL) is a common pathology (37 000 operations in 2006, nearly 43 000 in 2012 in France) justifying more and more operating indications in younger and younger patients. 70-80% of ACL ruptures occur without contact, which makes it a major public health interest because of its frequency and accessibility in terms of prevention. The place of isokinetic assessment is important pre and postoperatively so that it has become systematic.

Conditions

Anterior Cruciate Ligament Rupture

Keywords

Anterior cruciate ligament; ligamentoplasty; isokinetics

Outcome Measures

Primary Outcomes (1)

• Evaluation of relative hamstrings deficiency versus quadriceps expressed by a concentric hamstrings/quadriceps ratio

  Isokineticism makes it possible to measure the peak of force of quadriceps and hamstrings. Concentric hamstrings/quadriceps ratio in isokinetic is calculated to detect a relative deficiency if it is below threshold values of 55% at 60 °/s slow speed, or 65% at 180 °/s fast speed.

  At inclusion

Secondary Outcomes (1)

• Investigating whether a lack of recruitment of hamstring at fast speed is a potential risk factor for ACL rupture, by evaluating hamstrings/quadriceps ratio in isokinetics.

  At inclusion

Study Arms (2)

Patients with contralateral ACL after Ligamentoplasty

Athletic patients who have consulted in Sports Medicine Department at the Rennes University Hospital, victims of an ACL rupture during sports activity and who declared a contralateral ACL after the ligamentoplasty. Isokinetic evaluation.

Procedure: Isokinetic evaluation

Patients without contralateral ACL rupture

Athletic patients who have consulted in Sports Medicine Department at Rennes University Hospital, without ACL rupture. Isokinetic evaluation.

Procedure: Isokinetic evaluation

Interventions

Isokinetic evaluation PROCEDURE

Isokinetics is used to measure the peak of strength of quadriceps and hamstrings, in concentric or eccentric, at slow and fast speed to determine a hamstring / quadriceps ratio to highlight a deficit or imbalance.

Patients with contralateral ACL after Ligamentoplasty; Patients without contralateral ACL rupture

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Athletic patients who have consulted in Sports Medicine Department at Rennes University Hospital

You may qualify if:

• Athletic patients all levels
• victims of ACL rupture during sports practice,
• operated by the same surgeon
• having been evaluated in isokinetic postoperative in the Sports Medicine Department of Rennes University Hospital
• having resumed a sporting activity
• with the first ACL rupture between 01/01/1994 and 12/31/2015

You may not qualify if:

• Patients with ACL rupture outside of a sporting context
• not having resumed post-operative sports activity on the maximum follow-up period of 15 years
• not evaluated for isokinetic activity in the sports medicine department

Sponsors & Collaborators

• Rennes University Hospital: lead

Study Sites (1)

Rennes University Hospital

Rennes, 35000, France

Location

MeSH Terms

Conditions

Anterior Cruciate Ligament Injuries

Condition Hierarchy (Ancestors)

Knee Injuries; Leg Injuries; Wounds and Injuries

Study Officials

• Jacqueline JAN, MD

  Rennes University Hospital

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: CASE CONTROL
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: September 5, 2018
• First Posted: September 12, 2018
• Study Start: July 31, 2017
• Primary Completion: August 31, 2018
• Study Completion: August 31, 2018
• Last Updated: September 12, 2018

Record last verified: 2018-09

Data Sharing

• IPD Sharing: Will not share

Locations

FR (1)