Anterior Cruciate Ligament Reconstruction With a Periosteal - Patellar Tendon - Bone Autograft - The Kocabey Press-Fit Technique

Ankara City Hospital

Status: Enrolling

Conditions: Anterior Cruciate Ligament Rupture

Treatments: Procedure: Anterior cruciate ligament (ACL) reconstruction with a periost-patellar-tendon-bone (PPTB) autograft and a tibial press-fit technique

Study type: Observational

Funder types: Other

Identifiers

NCT06190223

E2-23-5650

Details and patient eligibility

About

This study aims to evaluate the clinical and radiological outcomes of patients undergoing anatomical single-bundle anterior cruciate ligament reconstruction with periosteal-patellar tendon-bone autograft and press-fit tibial fixation technique. The study also aims to compare these outcomes with other reconstruction techniques in the literature. The research investigates the results of a novel surgical technique, providing a minimally invasive and faster rehabilitation for patients undergoing surgery due to anterior cruciate ligament rupture. The technique does not use any screws or staples for tibial fixation, but it carries similar risks as existing techniques. The technique, similar to the well-known bone-patellar tendon-bone (BPTB) autograft technique, creates minimal bone defect at the tibial tuberosity. Over time, the defect remodels and causes minimal clinical discomfort. Despite these limitations, the authors expect patients operated with the investigated new technique to experience less postoperative swelling, less pain, faster mobilization, and earlier rehabilitation.

Enrollment: 150 estimated patients

Sex: All

Ages: 18 to 55 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• patients who underwent anatomical single-bundle anterior cruciate ligament reconstruction with periosteal - patellar tendon - bone autograft and press-fit tibial fixation technique after anterior cruciate ligament rupture
• patients with at least 1 year of clinical and radiological follow-up
• patients who did not undergo a revision

Exclusion criteria

• Patients who underwent a secondary arthroscopy for any reason after primary surgery
• Patients with a history of septic arthritis (before and after the surgery)
• Those with a history of trauma after primary surgery to the operated knee
• Patients who have not completed at least 1 year of follow-up

Trial design

150 participants in 1 patient group

PPTB Group

Description:

Patients will undergo anterior cruciate ligament reconstruction with the novel PPTB graft and a tibial press-fit technique.

Treatment:

Procedure: Anterior cruciate ligament (ACL) reconstruction with a periost-patellar-tendon-bone (PPTB) autograft and a tibial press-fit technique