Primary Anterior Cruciate Ligament Repair With and Without Lateral Extraarticular Tenodesis

Prof. Dr. Cemil Tascıoglu Education and Research Hospital Organization

Status: Completed

Conditions: Anterior Cruciate Ligament Tear

Treatments: Procedure: Primary anterior cruciate ligament repair and lateral extraarticular tenodesis (LET) with iliotibial band; Procedure: Primary anterior cruciate ligament repair

Study type: Interventional

Funder types: Other

Identifiers

NCT05923710

Anterior Cruciate Tear Repair

Details and patient eligibility

About

The investigators aimed to compare the clinical results of primary repairs and Lateral Extraarticular Tenodesis applied with primary repairs in the treatment of proximal ACL tears.

Full description

The investigators aimed to compare the clinical results of primary repairs and Lateral Extraarticular Tenodesis applied with primary repairs in the treatment of proximal ACL tears.The aim of this study was to determine the potential for improvement with the primary repair of acute ACL tears with the proximal tear, which may be an important advance for improvements in proprioception and preservation of natural kinematics.

Enrollment: 38 patients

Sex: All

Ages: 21 to 40 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• patients who underwent surgery within the first 3 weeks after injury
• between the ages of 21-40 years,
• attended regular follow-up visits,
• Sherman type 1 proximal ACL tear with relatively preserved synovial sheath
• Sufficient tissue length for re-stretching.

Exclusion criteria

• torn ACL in the mid and distal region,
• torn synovial sheath,
• inability to undergo intrasubstance suturing,
• poor tissue quality with retraction,
• multiple ligament injuries and accompanying intra-knee pathologies (meniscal damage, chondral damage),
• previous knee surgery,
• rheumatologic diseases

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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38 participants in 2 patient groups

Primary anterior cruciate ligament repair

Active Comparator group

Description:

Investigators performed arthroscopic primary repair in 18 patients with proximal ACL tears.

Treatment:

Procedure: Primary anterior cruciate ligament repair and lateral extraarticular tenodesis (LET) with iliotibial band

Procedure: Primary anterior cruciate ligament repair

Primary anterior cruciate ligament repair and lateral extraarticular tenodesis (LET)

Active Comparator group

Description:

Investigators performed arthroscopic primary repair and lateral extraarticular tenodesis (LET) with iliotibial band in 20 patients with proximal ACL tears.

Treatment:

Procedure: Primary anterior cruciate ligament repair and lateral extraarticular tenodesis (LET) with iliotibial band

Procedure: Primary anterior cruciate ligament repair