Anterior Cruciate Ligament Reconstruction With and Without Lateral Extra-Articular Tenodesis Among High Demand Patients

Ain Shams University

Status: Completed

Conditions: Anterior Cruciate Ligament Tear

Treatments: Procedure: Isolated anterior cruciate ligament reconstruction with lateral extra articular tenodesis; Procedure: Isolated anterior cruciate ligament reconstruction only

Study type: Interventional

Funder types: Other

Identifiers

NCT05962580

MD 13/2021

Details and patient eligibility

About

Anterior Cruciate Ligament Reconstruction with and without Lateral Extra-Articular Tenodesis between high demand patients

Full description

It is a randomized control trial comparing between isolated anterior cruciate ligament reconstruction with and without lateral extra articular tenodesis between high demand and high risk groups with high pivot regarding failure rate (primary out come) and patient reported functions score (IKDC and Lysholm)

Enrollment: 20 patients

Sex: All

Ages: 18 to 40 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• High demand patients (manual workers, athletes,...etc.).

• Normal average body mass index ( 18.5 - 24.9 ).

• Age <40 years old.

• Patients will be diagnosed as ACL tear by the following:

  1. History of knee traumatic event.
  2. Clinical examination ( positive Lachman test and pivot shift test).
  3. Radiological evidence of ACL tear by MRI.

• patient with high pivot shift test.

Exclusion criteria

• Generalized ligamentous laxity.
• Other intra or extra articular knee injuries.
• Previous ACL surgery on the affected knee.
• Bilateral ACL injuries.
• Significant Articular surface injury.
• Medical comorbidities
• Patients with malalignment ( genu varum, genu valgum or genu recurvatum )
• Neuromuscular disorders
• Knee arthritic changes.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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20 participants in 2 patient groups

Isolated anterior cruciate ligament recnostruction with lateral extra articular tenodesis

Experimental group

Description:

Arthroscopic anatomical single bundle anterior cruciate ligament reconstruction with modified Lemiere technique for extra-articular tenodesis

Treatment:

Procedure: Isolated anterior cruciate ligament reconstruction with lateral extra articular tenodesis

Isolated anterior cruciate ligament recnostruction without lateral extra articular tenodesis

Active Comparator group

Description:

Arthroscopic anatomical single bundle anterior cruciate ligament reconstruction only

Treatment:

Procedure: Isolated anterior cruciate ligament reconstruction only