ALL Ultrasound Predicts the Success of ACL Repair?

NCT ID: NCT04373408

Last Updated: 2021-09-23

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

Total Enrollment

120 participants

Study Classification

OBSERVATIONAL

Study Start Date

2020-07-01

Study Completion Date

2023-12-31

Brief Summary

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This case series evaluates whether patients with an anterior cruciate ligament (ACL) repair have better outcome if the anterolateral ligament (ALL) was repaired or not considering the ultrasound (US) pre-surgical recommendation.

Detailed Description

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In this case series, the surgeon will decide which patient will have ACL only or ACL and ALL surgery on the basis on multiple parameters. All patient will undergo detailed pre-clinical evaluation, including an ultrasonographic evaluation of the integrity of the ALL.

Two subgroups will be compared for the primary outcome (International Knee Documentation Committee score at 8 months of follow-up). In subgroup 1, the surgeon will follow the ultrasonographic evaluation of the ALL considering the ALL repair (i.e. : ALL intact on the ultrasound, ACL repair only; ALL broken on ultrasound; ACL and ALL repair). In subgroup 2, the surgeon will not follow the ultrasonographic evaluation of the ALL considering the ALL repair.

Secondary outcomes of interest will be evaluated with multivariate regression analysis.

Sample size calculation:

The chosen parameter of interest for the primary outcome evaluation is a continuous response variable (IKDC score) from two independent subgroups (ultrasonographic evaluation of the ALL followed or not for the surgical repair), considering a ratio of 1:3 between the two subgroups. In a previous study (AJSM Sonnery-Cottet 2017) the response within each subject group was normally distributed with standard deviation 13.1. If the true difference between the group means is the published minimal clinically important difference of 9 (AJSM Nwachukwu 2017), we will need to study 30 experimental subjects and 90 control subjects to be able to reject the null hypothesis that the population means of the experimental and control groups are equal with probability (power) 0.9. The Type I error probability associated with this test of this null hypothesis is 0.05.

Conditions

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Anterior Cruciate Ligament Rupture Surgery

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

PROSPECTIVE

Study Groups

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ACL rupture without indication for ALL surgery

Patients with an ACL rupture undergoing surgical repair of the ACL only

ACL repair without anterolateral repair

Intervention Type PROCEDURE

Surgical repair of the ACL using semitendinous autograft

ACL rupture with indication for ALL surgery

Patients with an ACL rupture undergoing surgical repair of the ACL and the ALL

ACL repair with anterolateral repair

Intervention Type PROCEDURE

Surgical repair of the ACL using semitendinous autograft, and surgical repair of the ALL using an allograft (Arthrex, Extra-Articular Augmentation device)

Interventions

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ACL repair without anterolateral repair

Surgical repair of the ACL using semitendinous autograft

Intervention Type PROCEDURE

ACL repair with anterolateral repair

Surgical repair of the ACL using semitendinous autograft, and surgical repair of the ALL using an allograft (Arthrex, Extra-Articular Augmentation device)

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Patients with an ACL rupture and pre-surgical ultrasound evaluation

Exclusion Criteria

* Sedentary patient without sports activities
* Prior ACL rupture of the same knee
* Posterior cruciate ligament rupture
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Adrien Schwitzguebel

OTHER

Sponsor Role lead

Responsible Party

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Adrien Schwitzguebel

MD

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Adrien Schwitzguébel, MD

Role: PRINCIPAL_INVESTIGATOR

Hôpital de la Providence

Locations

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Hôpital de la Providence

Neuchâtel, , Switzerland

Site Status RECRUITING

Countries

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Switzerland

Central Contacts

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Adrien Schwitzguébel, MD

Role: CONTACT

0797620562

Facility Contacts

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Adrien Schwitzguébel, MD

Role: primary

004132 720 32 75

References

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Nwachukwu BU, Chang B, Voleti PB, Berkanish P, Cohn MR, Altchek DW, Allen AA, Williams RJ Rd. Preoperative Short Form Health Survey Score Is Predictive of Return to Play and Minimal Clinically Important Difference at a Minimum 2-Year Follow-up After Anterior Cruciate Ligament Reconstruction. Am J Sports Med. 2017 Oct;45(12):2784-2790. doi: 10.1177/0363546517714472. Epub 2017 Jul 20.

Reference Type BACKGROUND
PMID: 28727937 (View on PubMed)

Sonnery-Cottet B, Saithna A, Cavalier M, Kajetanek C, Temponi EF, Daggett M, Helito CP, Thaunat M. Anterolateral Ligament Reconstruction Is Associated With Significantly Reduced ACL Graft Rupture Rates at a Minimum Follow-up of 2 Years: A Prospective Comparative Study of 502 Patients From the SANTI Study Group. Am J Sports Med. 2017 Jun;45(7):1547-1557. doi: 10.1177/0363546516686057. Epub 2017 Feb 2.

Reference Type BACKGROUND
PMID: 28151693 (View on PubMed)

Other Identifiers

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ALL Providence

Identifier Type: -

Identifier Source: org_study_id

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