ACL SNNAP Trial: ACL Surgery Necessity in Non Acute Patients (ACL SNNAP)
Anterior Cruciate Ligament Injury
About this trial
This is an interventional treatment trial for Anterior Cruciate Ligament Injury focused on measuring Anterior Cruciate Ligament, ACL, Anterior Cruciate Ligament deficiency, ACL deficiency, ACLD, Anterior Cruciate Ligament reconstruction, ACL reconstruction, Anterior Cruciate Ligament physiotherapy, Anterior Cruciate Ligament rehabilitation, ACL physiotherapy, ACL rehabilitation, Anterior Cruciate Ligament management, ACL management
Eligibility Criteria
Inclusion Criteria:
- Participant is willing and able to give informed consent for participation in the study.
- Male or Female, aged 18 years or above.
- Symptomatic ACL deficiency of the native ligament1 (instability-episodes of frank giving way or feeling unstable) with ACL deficiency (either partial or complete tear) confirmed using clinical assessment and MRI scan.
Exclusion Criteria:
- Acute phase of primary ACL injury i.e. not recovered from any acute symptoms relating to their initial ACL injury.
- Previous knee surgery (other than diagnostic arthroscopy or partial meniscectomy) to index knee concomitant severe injury to contra-lateral knee.
- Meniscal pathology with characteristics that indicate immediate surgery i.e. locked knee, large bucket handle or complex cartilage tear producing mechanical symptoms.
- Knee joint status of grade 3 or 4 on the Kellgren and Lawrence scale,
- Grade 3 MCL/LCL injury, associated PCL/PLC injury
- Inflammatory arthropathy.
- Pregnancy.
Sites / Locations
- Betsi Cadwaladr University Health BoardRecruiting
- Basildon and Thurrock University Hospitals NHS Foundation TrustRecruiting
- North Bristol NHS TrustRecruiting
- Gloucestershire Hospitals NHS Foundation TrustRecruiting
- Countess of Chester Hospital NHS Foundation TrustRecruiting
- University Hospitals Coventry and Warwickshire NHS TrustRecruiting
- Frimley Health NHS Foundation TrustRecruiting
- Royal Surrey County Hospitals NHS Foundation TrustRecruiting
- Hull and East Yorkshire Hospitals NHS TrustRecruiting
- Leeds Teaching Hospitals NHS TrustRecruiting
- University Hospitals of LeicesterRecruiting
- Kings College Hospital NHS Foundation TrustRecruiting
- University College London Hospitals NHS Foundation TrustRecruiting
- Manchester University NHS Foundation TrustRecruiting
- Oxford University Hospitals NHS Foundation TrustRecruiting
- North West Anglia NHS Foundation TrustRecruiting
- Portsmouth Hospitals NHS TrustRecruiting
- Royal Berkshire NHS Foundation TrustRecruiting
- Salisbury NHS Foundation TrustRecruiting
- Sheffield Teaching Hospitals NHS Foundation TrustRecruiting
- Frimley Health NHS Foundation TrustRecruiting
- Stockport NHS Foundation TrustRecruiting
- Sherwood Forest Hospitals NHS Foundation TrustRecruiting
- Abertawe Bro Morannwg University Health BoardRecruiting
- Great Western Hospitals NHS Foundation TrustRecruiting
- Taunton and Somerset NHS Foundation TrustRecruiting
- Royal Cornwall Hospitals NHS TrustRecruiting
- The Mid Yorkshire Hospitals NHS TrustRecruiting
- Warrington and Halton Hospitals NHS Foundation TrustRecruiting
- Wrightington, Wigan and Leigh NHS Foundation TrustRecruiting
- Betsi Cadwaladr University Health BoardRecruiting
- Yeovil District Hospital NHS Foundation TrustRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
ACL Rehabilitation Group
ACL Reconstruction Group
Non-surgical management [Rehabilitation] with option for later Anterior Cruciate Ligament (ACL) reconstruction, only if required.
Surgical Management - Anterior Cruciate Ligament (ACL) reconstruction surgery