Assessment of Outcomes of Double-bundle Posterior Cruciate Ligament Reconstruction (DB-PCLR)
1 other identifier
observational
10
1 country
1
Brief Summary
Double-bundle Posterior Cruciate Ligament Reconstruction (DB-PCLR) is becoming increasingly used alternative to the single-bungle PCLR. While more technically challenging, it seems to better improve patients' outcomes. Therefore, outcomes of DB-PCLR will be assessed and reported.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for all trials
Started Dec 2022
Longer than P75 for all trials
1 active site
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
Study Start
First participant enrolled
December 20, 2022
CompletedFirst Submitted
Initial submission to the registry
January 9, 2023
CompletedFirst Posted
Study publicly available on registry
January 27, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 31, 2025
CompletedStudy Completion
Last participant's last visit for all outcomes
December 31, 2026
ExpectedJanuary 27, 2023
January 1, 2023
3 years
January 9, 2023
January 25, 2023
Conditions
Outcome Measures
Primary Outcomes (10)
Knee posterior translatory stability - posterior sag test
Posterior sag test will be performed and outcome will be presented as present/ absent
At the 12 month of the follow-up.
Knee posterior translatory stability - posterior drawer test
Posterior drawer test aided with Rollimeter will be performed and outcomes will be presented in milimeters
At the 12 month of the follow-up.
Knee posterior translatory stability - posterior Lachman test
Posterior Lachman test aided with Rollimeter will be performed and outcomes will be presented in milimeters
At the 12 month of the follow-up.
Knee posterior translatory stability - stress X-ray
Stress X-ray assessing posterior translatory stability of the knee will be performed and outcomes will be presented in milimeters
At the 12 month of the follow-up.
Knee internal rotation stability
Maximal knee internal rotation angle will be assessed with different angles of knee flexion and measured by the means of goniometer and outcomes will be presented in degrees
At the 12 month of the follow-up.
Knee posterior translatory stability - posterior sag test
Posterior sag test will be performed and outcome will be presented as present/ absent
At the 24 month of the follow-up.
Knee posterior translatory stability - posterior drawer test
Posterior drawer test aided with Rollimeter will be performed and outcomes will be presented in milimeters
At the 24 month of the follow-up.
Knee posterior translatory stability - posterior Lachman test
Posterior Lachman test aided with Rollimeter will be performed and outcomes will be presented in milimeters
At the 24 month of the follow-up.
Knee posterior translatory stability - stress X-ray
Stress X-ray assessing posterior translatory stability of the knee will be performed and outcomes will be presented in milimeters
At the 24 month of the follow-up.
Knee internal rotation stability
Maximal knee internal rotation angle will be assessed with different angles of knee flexion and measured by the means of goniometer and outcomes will be presented in degrees
At the 24 month of the follow-up.
Secondary Outcomes (8)
The functional assessment with the The International Knee Documentation Committee Questionnaire (IKDC)
At the 12 month of the follow-up.
The functional assessment with the The International Knee Documentation Committee Questionnaire (IKDC)
At the 24 month of the follow-up.
The functional assessment with the Knee injury and Osteoarthritis Outcome Score (KOOS)
At the 12 month of the follow-up.
The functional assessment with the Knee injury and Osteoarthritis Outcome Score (KOOS)
At the 24 month of the follow-up.
Retear rate
At the 12 month of the follow-up.
- +3 more secondary outcomes
Study Arms (1)
Patients with PCL tear treated with DB-PCLR
Patients with PCL tear treated with DB-PCLR
Interventions
DB-PCLR with reconstruction of both PCL bundles: anterolateral and posteromedial bundle will be performed.
Eligibility Criteria
Patients after PCL tear with knee instability undergoing DB-PCLR
You may qualify if:
- PCL tear with III grade sympomatic posterior instability confirmed clinically and radiologically
- full knee range of motion
You may not qualify if:
- active knee inflammation
- non-adherence to the study protocol
- fixed posterior drawer
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Artromedical Orthopaedic Clinic
Bełchatów, Łódź Voivodeship, 97-400, Poland
Related Publications (4)
Chahla J, Moatshe G, Cinque ME, Dornan GJ, Mitchell JJ, Ridley TJ, LaPrade RF. Single-Bundle and Double-Bundle Posterior Cruciate Ligament Reconstructions: A Systematic Review and Meta-analysis of 441 Patients at a Minimum 2 Years' Follow-up. Arthroscopy. 2017 Nov;33(11):2066-2080. doi: 10.1016/j.arthro.2017.06.049. Epub 2017 Aug 31.
PMID: 28866340BACKGROUNDKnapik DM, Gopinatth V, Jackson GR, Chahla J, Smith MV, Matava MJ, Brophy RH. Global variation in isolated posterior cruciate ligament reconstruction. J Exp Orthop. 2022 Oct 9;9(1):104. doi: 10.1186/s40634-022-00541-4.
PMID: 36209443BACKGROUNDLaPrade RF, Cinque ME, Dornan GJ, DePhillipo NN, Geeslin AG, Moatshe G, Chahla J. Double-Bundle Posterior Cruciate Ligament Reconstruction in 100 Patients at a Mean 3 Years' Follow-up: Outcomes Were Comparable to Anterior Cruciate Ligament Reconstructions. Am J Sports Med. 2018 Jul;46(8):1809-1818. doi: 10.1177/0363546517750855.
PMID: 29953296BACKGROUNDBernhardson AS, DePhillipo NN, Aman ZS, Kennedy MI, Dornan GJ, LaPrade RF. Decreased Posterior Tibial Slope Does Not Affect Postoperative Posterior Knee Laxity After Double-Bundle Posterior Cruciate Ligament Reconstruction. Am J Sports Med. 2019 Feb;47(2):318-323. doi: 10.1177/0363546518819786. Epub 2019 Jan 18.
PMID: 30657698BACKGROUND
Study Officials
- PRINCIPAL INVESTIGATOR
Konrad Malinowski, MD PhD
Artromedical Orthopaedic Clinic, Bełchatów, Poland
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR INVESTIGATOR
- PI Title
- Konrad Malinowski MD, Director of Artromedical Konrad Malinowski Clinic and Principal Investigator
Study Record Dates
First Submitted
January 9, 2023
First Posted
January 27, 2023
Study Start
December 20, 2022
Primary Completion
December 31, 2025
Study Completion (Estimated)
December 31, 2026
Last Updated
January 27, 2023
Record last verified: 2023-01