Remnant Preservation and Tibial Tunnel Widening After ACL Reconstruction
NCT ID: NCT07236593
Last Updated: 2025-11-19
Study Results
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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COMPLETED
NA
190 participants
INTERVENTIONAL
2021-07-01
2024-03-30
Brief Summary
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This prospective randomized study aims to evaluate whether remnant (stump) preservation and suturing during ACL reconstruction can reduce the risk of tibial tunnel widening compared with the conventional stump-resection technique.
A total of 190 patients with recent ACL tears (\<6 months) were randomly assigned into two equal groups: Group A underwent arthroscopic ACL reconstruction with remnant suturing, while Group B underwent standard reconstruction with stump resection. All patients were followed for 12 months postoperatively with serial CT evaluations to assess tunnel diameters and positioning.
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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Stump-Suturing ACL Reconstruction
Stump-Suturing ACL Reconstruction
Patients in this group undergo arthroscopic ACL reconstruction with preservation and suturing of the native ACL remnant (stump) around the graft. The technique aims to enhance graft revascularization and biological healing, potentially reducing tibial tunnel widening.
Stump-Resection ACL Reconstruction
Stump-Resection ACL Reconstruction
Patients in this group undergo standard arthroscopic ACL reconstruction with complete resection of the ACL remnant (stump) prior to graft placement. This represents the conventional surgical approach for ACL reconstruction.
Interventions
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Stump-Suturing ACL Reconstruction
Patients in this group undergo arthroscopic ACL reconstruction with preservation and suturing of the native ACL remnant (stump) around the graft. The technique aims to enhance graft revascularization and biological healing, potentially reducing tibial tunnel widening.
Stump-Resection ACL Reconstruction
Patients in this group undergo standard arthroscopic ACL reconstruction with complete resection of the ACL remnant (stump) prior to graft placement. This represents the conventional surgical approach for ACL reconstruction.
Eligibility Criteria
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Inclusion Criteria
* Acute ACL injury (\<6 months)
* Medically fit for surgery
Exclusion Criteria
* Old or chronic ACL injuries (\>6 months)
* Multi-ligamentous knee injuries
* Failed previous ACL reconstruction
* Associated mal-alignment deformities
* Absence of identifiable ACL stump
18 Years
45 Years
ALL
No
Sponsors
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Cairo University
OTHER
Responsible Party
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Mahmoud Ahmed El-Desouky
Associate Professor of Orthopedic surgery
Locations
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Kasr Alainy
Cairo, , Egypt
Countries
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Other Identifiers
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N-473-2021
Identifier Type: -
Identifier Source: org_study_id
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