Post-Traumatic Knee Osteoarthritis Following Anterior Cruciate Ligament Reconstruction

NCT ID: NCT06201442

Last Updated: 2024-01-11

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

60 participants

Study Classification

OBSERVATIONAL

Study Start Date

2021-11-23

Study Completion Date

2025-04-30

Brief Summary

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The purpose of this trial is to define knee joint pathomechanics (KJPM) in the first 2 years after ACL reconstruction (ACLR) and relate these KJPM with changes in articular cartilage morphology and quality.

Detailed Description

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This research project is a longitudinal prospective study. The investigators aim to define the KJPM longitudinally in the first 2 years following ACLR. The investigators relate these KJPM, combined with the cumulative mechanical exposure, to changes in articular cartilage/joint surface morphology and quality. To investigate the loading pattern on the knee joint, daily activities like walking, running and climbing stairs will be performed by the participants.

The overall goal of this research project is to investigate whether KJPM are related with early cartilage degeneration. This is a first major step towards reducing the risk for post-ACLR onset of Post-Traumatic Knee Osteoarthritis (PTOA).

Two work packages (WP) can be separated, that each have a separate aim:

WP1: The first aim of this WP (WP1.A) is to profile longitudinal changes in knee contact forces (KCFs) and knee contact pressure (KCP) distribution of the articular cartilage in the first 2 years following ACLR. Second, in WP1.B, the investigators will identify multivariate proxies of KCFs (and KCP) to improve clinical translation (for example by facilitating the development of prognostic tools for verifying KJPM in real life).

WP2: the second aim is to establish the relationship between KJPM at different time points following ACLR and (changes in) articular cartilage morphology and quality (WP2.A). Furthermore, the investigators will compare the biomechanical profile of "fast PTOA progressors" with "fast non-traumatic early osteoarthritis progressors" (WP2.B).

Conditions

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Anterior Cruciate Ligament Injuries Post-Traumatic Osteoarthritis of Knee

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

PROSPECTIVE

Study Groups

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Patients undergoing unilateral Anterior Cruciate Ligament Reconstruction (ACLR)

4 - 5 visits: Clinical examination, magnetic resonance imaging (MRI), 3D motion analysis, Strength assessment, EOS radiography (full leg X-ray scan), X-ray scan knee, Blood sample, Questionnaires and Activity monitoring.

Imaging - magnetic resonance imaging (MRI)

Intervention Type OTHER

MRI knee - not standard of care

Blood sampling

Intervention Type OTHER

blood sample taken and analysis - not standard of care

Assessment of functionality and strength

Intervention Type OTHER

Movements and posture Analysis Laboratory Leuven measurement (3D motion analysis) and Biodex measurement - not standard of care

Activity monitoring

Intervention Type OTHER

Actigraph measurement- not standard of care

Imaging - x-ray scan (RX)

Intervention Type OTHER

RX Knee and EOS radiography full leg - not standard of care

Questionnaires

Intervention Type BEHAVIORAL

Patient reported outcomes (PROMS)

Healthy controls without previous Anterior Cruciate Ligament (ACL) injury

2 visits: Clinical examination, MRI, 3D motion analysis, Strength assessment, EOS radiography, X-ray scan knee, Blood sample, Questionnaires and Activity monitoring.

Imaging - magnetic resonance imaging (MRI)

Intervention Type OTHER

MRI knee - not standard of care

Blood sampling

Intervention Type OTHER

blood sample taken and analysis - not standard of care

Assessment of functionality and strength

Intervention Type OTHER

Movements and posture Analysis Laboratory Leuven measurement (3D motion analysis) and Biodex measurement - not standard of care

Activity monitoring

Intervention Type OTHER

Actigraph measurement- not standard of care

Imaging - x-ray scan (RX)

Intervention Type OTHER

RX Knee and EOS radiography full leg - not standard of care

Questionnaires

Intervention Type BEHAVIORAL

Patient reported outcomes (PROMS)

Interventions

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Imaging - magnetic resonance imaging (MRI)

MRI knee - not standard of care

Intervention Type OTHER

Blood sampling

blood sample taken and analysis - not standard of care

Intervention Type OTHER

Assessment of functionality and strength

Movements and posture Analysis Laboratory Leuven measurement (3D motion analysis) and Biodex measurement - not standard of care

Intervention Type OTHER

Activity monitoring

Actigraph measurement- not standard of care

Intervention Type OTHER

Imaging - x-ray scan (RX)

RX Knee and EOS radiography full leg - not standard of care

Intervention Type OTHER

Questionnaires

Patient reported outcomes (PROMS)

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Age: 18-35 years
* No previous anterior cruciate ligament (ACL) injury
* Body Mass Index (BMI) between 18-30
* Regular physical activity (active during work or practicing sports regularly)
* Signed informed consent to participate


* Age: 18-35 years
* ACL tear which is recently reconstructed or will be reconstructed after enrollment in the current study (the reconstruction will take place within 6 months after injury) with a Hamstring autograft
* BMI between 18-30
* Regular physical activity (active during work or practicing sports regularly)
* Signed informed consent to participate

Exclusion Criteria

* Major injuries to the lower extremities with absence from sports or daily life activities longer than 2 weeks or that required surgery, less than 6 months before participation
* Pre-existing arthritic disease including inflammatory or infectious arthritis


* Major injuries to the lower extremities with absence from sports or daily life activities longer than 2 weeks or that required surgery, less than 6 months before participation
* Pre-existing arthritic disease including inflammatory or infectious arthritis
* Image based confirmation of local cartilage lesion grade 4 or major cartilage damage (Kellgren \& Lawrence \> 2)
* Medial collateral ligament damage (\> grade 2)
* Intra-articular knee fractures
* Menisectomy with \<80% remnant
Minimum Eligible Age

18 Years

Maximum Eligible Age

35 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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KU Leuven

OTHER

Sponsor Role collaborator

Universitaire Ziekenhuizen KU Leuven

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Sabine Verschueren, PhD

Role: PRINCIPAL_INVESTIGATOR

KU Leuven

Locations

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Faculty of Kinesiology and Rehabilitation Sciences

Leuven, Vlaams-Brabant, Belgium

Site Status RECRUITING

Countries

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Belgium

Central Contacts

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Sabine Verschueren, PhD

Role: CONTACT

0032 16 32 90 70

Facility Contacts

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Sabine Verschueren, Prof.

Role: primary

16 32 90 70 ext. +32

Other Identifiers

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S65257

Identifier Type: -

Identifier Source: org_study_id

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