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Anterior Cruciate Ligament Reconstruction Made With Hamstring Tendon And Quadriceps Tendon Autografts

Primary Purpose

Anterior Cruciate Ligament Injuries

Status
Completed
Phase
Not Applicable
Locations
Turkey
Study Type
Interventional
Intervention
anterior cruciate ligament recontruction
Sponsored by
SB Istanbul Education and Research Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Anterior Cruciate Ligament Injuries

Eligibility Criteria

18 Years - 50 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

diagnosed primary ACL rupture willing to involve study

  • lesser than Outerbridge 2 cartilage lesions, non-buckethandle meniscus injuries

Exclusion Criteria:

more than one ligament injury greater than outerbridge 3 cartilage injury buckethandle meniscus injuries re-ruptures bilateral injuries previous knee surgery any disease affecting muscle strength

-

Sites / Locations

  • Istanbul education and research hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

quadriceps tendon autograft

hamstring tendon autograft

Arm Description

Ramdomized half of the patient underwent quadriceps graft harvesting. Arthroscopic technique fixation methods rehabilitation style follow periods kept same as hamstring group except graft type.

Ramdomized half of the patient underwent hamstring graft harvesting. Arthroscopic technique fixation methods rehabilitation style follow periods kept same as hamstring group except graft type.

Outcomes

Primary Outcome Measures

KOOS
Simple patient reported questionnaire
lysholm
Simple patient reported questionnaire
VAS
Simple patient reported questionnaire
IKDC
Simple patient reported questionnaire
STRENGTH TEST
Simple patient reported questionnaire
subjective instability test
instability measure with help of examinations
thigh circumference
circumference measure
one leg hop test
ask to participant hop on operated leg

Secondary Outcome Measures

Full Information

First Posted
June 11, 2021
Last Updated
June 17, 2021
Sponsor
SB Istanbul Education and Research Hospital
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1. Study Identification

Unique Protocol Identification Number
NCT04940169
Brief Title
Anterior Cruciate Ligament Reconstruction Made With Hamstring Tendon And Quadriceps Tendon Autografts
Official Title
Prospective Comparison Of Arthroscopic Anterior Cruciate Ligament Reconstrictions Made With Hamstring Tendon And Quadriceps Tendon Autografts
Study Type
Interventional

2. Study Status

Record Verification Date
June 2021
Overall Recruitment Status
Completed
Study Start Date
July 6, 2018 (Actual)
Primary Completion Date
January 30, 2021 (Actual)
Study Completion Date
March 30, 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
SB Istanbul Education and Research Hospital

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
Anterior cruciate ligament reconstruction (ACLR) is one of the most common procedure all around the world, however optimal graft source for ACLR still remains controversial. Although Quadriceps tendon (QT) is the least used and least studied autograft, it could be an appropriate and good alternative for ACLR. If investigaters use the same surgical technique, and exert the same rehabilitation methods they may have better results than hamstring tendon (HT) autografts.
Detailed Description
Investigators enrolled 36 patient and randomized them to different group (HT, QT). at the first evaluation examination findings noted, PROMs (patient reported outcome measurements) questioned, thigh circumference measured, flexor and extensor thigh muscle strength recorded with help of Humac CYBEX Norm (CSMI, 2004) device. After these examinations and preparations all patients operated by the same surgeon who is familiar with both technique. The same surgical technique and fixation method used for both groups. At 1st year follow-up all evaluations PROMs (İKDC,lysholm,VAS) and measurements repeated. Back to the sports rates and postoperative complications compared between HT-QT.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Anterior Cruciate Ligament Injuries

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Participant
Allocation
Randomized
Enrollment
38 (Actual)

8. Arms, Groups, and Interventions

Arm Title
quadriceps tendon autograft
Arm Type
Experimental
Arm Description
Ramdomized half of the patient underwent quadriceps graft harvesting. Arthroscopic technique fixation methods rehabilitation style follow periods kept same as hamstring group except graft type.
Arm Title
hamstring tendon autograft
Arm Type
Experimental
Arm Description
Ramdomized half of the patient underwent hamstring graft harvesting. Arthroscopic technique fixation methods rehabilitation style follow periods kept same as hamstring group except graft type.
Intervention Type
Procedure
Intervention Name(s)
anterior cruciate ligament recontruction
Intervention Description
Firstly graft is harvested with help of arthroscopy femoral and tibial tunnels created then graft placed into tunnels
Primary Outcome Measure Information:
Title
KOOS
Description
Simple patient reported questionnaire
Time Frame
Change from Baseline score at one year.
Title
lysholm
Description
Simple patient reported questionnaire
Time Frame
Change from Baseline score at one year.
Title
VAS
Description
Simple patient reported questionnaire
Time Frame
Change from baseline score at one year.
Title
IKDC
Description
Simple patient reported questionnaire
Time Frame
Change from baseline score at one year.
Title
STRENGTH TEST
Description
Simple patient reported questionnaire
Time Frame
Change from baseline score at one year.
Title
subjective instability test
Description
instability measure with help of examinations
Time Frame
Change from baseline score at one year.
Title
thigh circumference
Description
circumference measure
Time Frame
Change from baseline score at one year.
Title
one leg hop test
Description
ask to participant hop on operated leg
Time Frame
Change from baseline score at one year.

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: diagnosed primary ACL rupture willing to involve study lesser than Outerbridge 2 cartilage lesions, non-buckethandle meniscus injuries Exclusion Criteria: more than one ligament injury greater than outerbridge 3 cartilage injury buckethandle meniscus injuries re-ruptures bilateral injuries previous knee surgery any disease affecting muscle strength -
Facility Information:
Facility Name
Istanbul education and research hospital
City
Istanbul
ZIP/Postal Code
34098
Country
Turkey

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Anterior Cruciate Ligament Reconstruction Made With Hamstring Tendon And Quadriceps Tendon Autografts

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