Individualized Anterior Cruciate Ligament Versus Conventional Reconstruction

NCT ID: NCT04366362

Last Updated: 2021-11-18

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

120 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-03-02

Study Completion Date

2023-04-30

Brief Summary

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A randomised prospective control trial comparing the efficiency of a more individualized approach in ACL reconstruction with the help of neuromuscular computer models with traditional ACL reconstruction practices.

Detailed Description

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Until now the ACL reconstruction was based on the surgeon's experience. An individualised ACL reconstruction is customized based on each patient's special characteristics. Preoperative and intraoperative evaluation of the native ACL (both anteromedial and posterolateral bundles), knee anatomy and function, level of activity and generalised ligamentous laxity are assessed. Femoral and tibial tunnels should be placed in their anatomical location accounting for both the native ACL insertion site and bony landmarks. Two groups will be created, one with patients undergoing ACL reconstruction based on a surgeon's experience and one based on a more individualised approach according to the particular characteristics of each patient separately. In addition, patients in the second group will undergo ACL reconstruction with the use of Computer Assisted System (Navigation).

Preoperatively and postoperatively, the patients will be assessed with the KT2000 system, the KOOS (Knee injury and Osteoarthritis Outcome), the Tegner- Lysholm Knee scoring system and the IKDC (International Knee Documentation Committee). Additionally, all patient will be examined for their knee function with the use of a 3D gait analysis system.

The follow-up examination will take place 6 and 12 months after the surgery.

Conditions

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Anterior Cruciate Ligament Injuries

Keywords

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ACL Anterior Cruciate Ligament Reconstruction Individualised Anatomical Navigation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Two groups of patients, randomly assigned
Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors
Participants will not be aware of the group that they will be part of. Assessors before and after surgery will not be aware of patients groups

Study Groups

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Convetional reconstruction group

Patients will undergo ACL reconstruction based on conventional ACL surgery

Group Type ACTIVE_COMPARATOR

Conventional ACL reconstruction

Intervention Type PROCEDURE

ACL reconstruction based on surgeons experience without taking into account any other patients characteristics

Individualised reconstruction group

Patients will undergo ACL reconstruction based on their special anatomical and functional characteristics and with the use of a navigation system

Group Type EXPERIMENTAL

Individualised ACL reconstruction

Intervention Type PROCEDURE

ACL reconstruction based on anatomical and functional distinctiveness of each patient separately

Interventions

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Individualised ACL reconstruction

ACL reconstruction based on anatomical and functional distinctiveness of each patient separately

Intervention Type PROCEDURE

Conventional ACL reconstruction

ACL reconstruction based on surgeons experience without taking into account any other patients characteristics

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Patients with ACL rupture undergoing ACL reconstruction surgery with closed epiphyses, younger than 45 years old

Exclusion Criteria

* No previous surgery in the knee (except partial meniscectomy), no major systematic pathology
Minimum Eligible Age

14 Years

Maximum Eligible Age

45 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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University of Thessaly

OTHER

Sponsor Role collaborator

Larissa University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Georgios Chalatsis

MD, MSc, PhD Cand, Resident in Orthopaedics

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Michael Hantes, MD

Role: STUDY_CHAIR

University General Hospital of Larissa

Locations

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Michael Hantes

Larissa, , Greece

Site Status RECRUITING

Countries

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Greece

Central Contacts

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Georgios Chalatsis, MD

Role: CONTACT

Phone: 00306977992086

Email: [email protected]

michael hantes, MD

Role: CONTACT

Email: [email protected]

Facility Contacts

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Gorgios Paraskevas Chalatsis, MD

Role: primary

Michael Hantes, MD

Role: backup

Other Identifiers

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GC1

Identifier Type: -

Identifier Source: org_study_id