Quadrupled Semitendinosus Graft in Anterior Cruciate Ligament Reconstruction

NCT ID: NCT03433170

Last Updated: 2025-09-19

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

42 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-01-20

Study Completion Date

2022-07-31

Brief Summary

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Randomized controlled trial comparing reconstruction of anterior cruciate ligament (ACL) with autologous quadrupled semitendinosus graft or with both semitendinosus and gracilis. It is intended to specially evaluate if by using only the semitendinosus (ST) tendon, the strength of the limb for hamstrings is affected different compared to using both gracilis and ST.

Detailed Description

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Data checks programmed by a third party after inclusion of participant number 10, 20, 30 and 42. This includes source data verification.

Simple size calculations estimating a difference of 50% in strength improvement between both groups at the six months follow-up visit. 80% power and 5% alpha error.

Strength measured with dynamometer, laxity with ACL laxity tester and function with 3 scores: IKDC, Tegner-Lysholm and KOOS.

Missing data will be minimized by double checking when registering data. It might be necessary to increase sample size to 50 patients of intermediate analysis show it is necessary to find an statistically significant difference.

Trial could be stopped early if one intervention shows to be better in the intermediate analysis. These analysis will be conducted after the first 16 and 32 participants have been included.

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

DOUBLE

Participants Outcome Assessors

Study Groups

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Quadrupled semitendinosus graft

Autologous quadrupled semitendinosus graft is used to reconstruct the ACL injury

Group Type EXPERIMENTAL

Quadrupled semitendinosus graft

Intervention Type PROCEDURE

Quadrupled ST graft as unique graft for the ACL reconstruction. Fixation with cortical button in femur and interference screw in tibia.

ST-Gracilis graft

Both gracilis and semitendinosus autologous graft are used to reconstruct the ACL injury

Group Type ACTIVE_COMPARATOR

ST-Gracilis graft

Intervention Type PROCEDURE

Use of both semitendinosus and gracilis graft for the ACL reconstruction. Fixation with cortical button in femur and interference screw in tibia.

Interventions

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Quadrupled semitendinosus graft

Quadrupled ST graft as unique graft for the ACL reconstruction. Fixation with cortical button in femur and interference screw in tibia.

Intervention Type PROCEDURE

ST-Gracilis graft

Use of both semitendinosus and gracilis graft for the ACL reconstruction. Fixation with cortical button in femur and interference screw in tibia.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Patients with anterior cruciate ligament injury that are candidates for surgical reconstruction with hamstrings. They should be at least 16 years old.

Exclusion Criteria

* Multiligament injuries. Re-ruptures of the ACL.
Minimum Eligible Age

15 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Fundacion Clinica Valle del Lili

OTHER

Sponsor Role lead

Responsible Party

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Juan Pablo Martinez

Orthopaedic Surgeon

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Juan P Martinez, MD

Role: PRINCIPAL_INVESTIGATOR

Fundacion Clinica Valle del Lili

Locations

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Fundacion Valle del Lili

Cali, Valle del Cauca Department, Colombia

Site Status

Countries

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Colombia

References

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Martinez-Cano JP, Gallego A, Cuadros J, Ibarra L, Mejia FM, Velasquez-Hammerle MV, Martinez-Rondanelli A. Similar results with quadrupled semitendinosus and semitendinosus-gracilis graft in anterior cruciate ligament reconstruction: A randomised controlled trial with 2-year follow-up. J Exp Orthop. 2025 Sep 24;12(3):e70399. doi: 10.1002/jeo2.70399. eCollection 2025 Jul.

Reference Type DERIVED
PMID: 41018256 (View on PubMed)

Other Identifiers

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STX4

Identifier Type: -

Identifier Source: org_study_id

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