Transtibial Versus Anteromedial Femoral Tunnel Technique in ACL Reconstruction

Panam Clinic

Status: Completed

Conditions: Anterior Cruciate Ligament Reconstruction

Treatments: Procedure: Femoral tunnel creation

Study type: Interventional

Funder types: Other

Identifiers

NCT02633410

ACL-FEM 01

Details and patient eligibility

About

The anteromedial (AM) portal technique was introduced to position the femoral tunnel in anterior cruciate ligament (ACL) reconstruction to more closely replicate the original footprint compared to the transtibial (TT) approach.1-5 Few randomized trials have evaluated differences in these techniques with respect to clinical outcomes. The purpose of this study was to determine if there are any differences in clinical outcome between the AM and TT approaches.

Full description

The anteromedial (AM) portal technique was introduced to position the femoral tunnel in anterior cruciate ligament (ACL) reconstruction to more closely replicate the original footprint compared to the transtibial (TT) approach.1-5 Few randomized trials have evaluated differences in these techniques with respect to clinical outcomes. The purpose of this study was to determine if there are any differences in clinical outcome between the AM and TT approaches.

Enrollment: 96 patients

Sex: All

Ages: 14 to 50 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• sustained a complete ACL tear and had no other ligament injuries requiring surgical intervention

Exclusion criteria

• concomitant collateral ligament tears
• significant chondromalacia (based on diagnostic imaging)
• previous lower limb surgery
• significant injury to either lower limb requiring surgery
• history of arthritis
• were unable to comply with rehabilitation protocols or study follow-ups
• were pregnant females or had other medical conditions which precluded participation.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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96 participants in 2 patient groups

Transtibial

Active Comparator group

Description:

Transtibial technique used to create femoral tunnel

Treatment:

Procedure: Femoral tunnel creation

Anteromedial

Active Comparator group

Description:

Anteromedial technique used to create femoral tunnel

Treatment:

Procedure: Femoral tunnel creation