Synthetic Bone Graft Substitute vs. Autologous Spongiosa in Revision Anterior Cruciate Ligament Reconstruction

NCT ID: NCT02845141

Last Updated: 2018-01-19

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-03-31

Study Completion Date

2017-07-31

Brief Summary

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The overall objective is the histological and radiological assessment of bony consolidation of the tibial/femoral tunnel using either bone graft substitute (Actifuse) or autologous spongiosa in patients undergoing revision anterior cruciate ligament reconstruction.

Clinical correlation with the histological and radiological results using the SF36 questionnaire.

Detailed Description

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\* Study design: Monocentric, prospective, randomised study. Patients who need revision anterior cruciate ligament reconstruction and show a tunnel enlargement of \>10mm will have a first operation filling the tibial/femoral tunnel either with bone graft substitute (Actifuse) or autologous spongiosa.

5 - 6 months after this first operation a CT will be performed to assess the bony consolidation of the former tibial/femoral tunnel. An MRI will be performed to assess vitality of the bone substitute.

An osseous biopsy will be taken from the tibial/femoral tunnel at the revision anterior cruciate ligament reconstruction approximately 6 months after bone grafting.

Clinical evaluation will be performed 6 weeks, 3 months and 6 months postoperative. At 6 months postoperative additional radiological evaluation and clinical assessment using the SF36 questionnaire will be performed.

* Treatment: Either autologous spongiosa or Actifuse (MIS applicator) will be administered by the investigator as a bone graft substitute for tunnel enlargement in patients undergoing revision anterior cruciate ligament reconstruction.
* Duration of Participation: The participation of each subject will be approximately 12 months.

Each subject will undergo revision anterior cruciate ligament reconstruction approximately 6 months after bone grafting. A biopsy will be taken at this operation. A clinical and radiological follow up is planned for further 6 months.

\* Subjects: Male and female patients ≥ 18 years. Approximately 40 patients who undergo revision anterior cruciate ligament reconstruction will be included in the study.

Inclusion criteria: Patients in need of revision anterior cruciate ligament reconstruction Exclusion criteria: Infection, wound healing complications

Conditions

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Anterior Cruciate Ligament Injury

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Actifuse

Actifuse to fill bone tunnel

Group Type EXPERIMENTAL

Actifuse

Intervention Type PROCEDURE

bone tunnel filled with Actifuse

bone graft

bone graft to fill bone tunnel

Group Type ACTIVE_COMPARATOR

bone graft

Intervention Type PROCEDURE

bone graft to fill bone tunnel

Interventions

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Actifuse

bone tunnel filled with Actifuse

Intervention Type PROCEDURE

bone graft

bone graft to fill bone tunnel

Intervention Type PROCEDURE

Other Intervention Names

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Baxter Actifuse MIS

Eligibility Criteria

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Inclusion Criteria

* Patients in need of revision anterior cruciate ligament reconstruction

Exclusion Criteria

* Infection, wound healing complications
Minimum Eligible Age

18 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Berufsgenossenschaftliche Unfallklinik Ludwigshafen

OTHER

Sponsor Role lead

Responsible Party

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Jan von Recum

Dr. med.

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Jan von Recum, MD

Role: PRINCIPAL_INVESTIGATOR

BG Unfallklinik Ludwigshafen

Marc Schnetzke, MD

Role: STUDY_CHAIR

BG Unfallklinik Ludwigshafen

Locations

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BG Unfallklinik

Ludwigshafen, , Germany

Site Status

Countries

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Germany

Other Identifiers

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Baxter_Actifuse_001

Identifier Type: -

Identifier Source: org_study_id

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