Comparison of Two ACL Reconstruction Techniques: All-inside Versus Complete Tibial Tunnel Technique
1 other identifier
interventional
71
1 country
2
Brief Summary
This study intends to perform an all-inside and complete tibial tunnel ACL reconstruction technique in 80 patients, and compare the clinical and radiological outcomes of the two surgical procedures through follow-up.
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 Oct 2022
Typical duration for not_applicable
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
October 6, 2022
CompletedFirst Posted
Study publicly available on registry
October 12, 2022
CompletedStudy Start
First participant enrolled
October 28, 2022
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 1, 2024
CompletedStudy Completion
Last participant's last visit for all outcomes
November 20, 2024
CompletedDecember 27, 2024
December 1, 2024
1.7 years
October 6, 2022
December 20, 2024
Conditions
Outcome Measures
Primary Outcomes (1)
Signal to Noise Quotient
Graft maturation on MRI using T2 Turbo Spin Echo (TSE) sequence without fat saturation
1 year
Secondary Outcomes (4)
Difference in Computed Tomography (CT) imaging of Tunnels
1 day, 6 months, 1 year
International Knee Documentation Committee (IKDC)
1 year
Marx Activity Rating Score
1 year
Side to side difference in anterior tibial translation
6 weeks, 3 months, 6 months, 9 months, 1 year
Study Arms (2)
All-inside technique
EXPERIMENTALBoth of the femoral and tibial tunnel will be drilled in a retrograde manner using flip-cutter and femoral and tibial sockets will be created. Graft will be passed from the portal. Adjustable suspensory cortical fixation both on tibial and femoral side will be used.
Complete tibial tunnel technique
ACTIVE COMPARATORFemoral tunnel will be drilled in an inside-outside manner using standard technique. Then the tibial tunnel will be drilled completely. Graft will be passed from the tibial tunnel. Adjustable suspensory cortical fixation both on the tibial and femoral side will be used.
Interventions
Anterior Cruciate Ligament Reconstruction with four strand semitendinosus graft
Eligibility Criteria
You may qualify if:
- Patients who have provided informed written written consent;
- Patients aged between 18 and 45;
- Patients undergoing reconstructive surgical treatment of the anterior cruciate ligament (ACL)
- Patients undergoing ACL reconstruction with a 8 mm four-strand semitendinosus autograft
You may not qualify if:
- Patients who have not signed informed consent;
- Patients undergoing any additional concomitant ligament repair or reconstruction at the same surgery
- Revision procedures
- Patients unable to lay still in an MRI or CT scanner
- Patients with a torn ACL or previous ACL reconstruction in the contralateral knee.
- Patients who had an excessive tibial slope \>12 degrees
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
Samsun University
Samsun, Samsun, Turkey (Türkiye)
Ahmet E. Okutan
Samsun, Turkey (Türkiye)
Related Publications (2)
Bhimani R, Shahriarirad R, Ranjbar K, Erfani A, Ashkani-Esfahani S. Transportal versus all-inside techniques of anterior cruciate ligament reconstruction: a systematic review. J Orthop Surg Res. 2021 Dec 23;16(1):734. doi: 10.1186/s13018-021-02872-x.
PMID: 34949188BACKGROUNDColombet P, Saffarini M, Bouguennec N. Clinical and Functional Outcomes of Anterior Cruciate Ligament Reconstruction at a Minimum of 2 Years Using Adjustable Suspensory Fixation in Both the Femur and Tibia: A Prospective Study. Orthop J Sports Med. 2018 Oct 22;6(10):2325967118804128. doi: 10.1177/2325967118804128. eCollection 2018 Oct.
PMID: 30364847BACKGROUND
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
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
October 6, 2022
First Posted
October 12, 2022
Study Start
October 28, 2022
Primary Completion
July 1, 2024
Study Completion
November 20, 2024
Last Updated
December 27, 2024
Record last verified: 2024-12
Data Sharing
- IPD Sharing
- Will not share