anterior cruciate ligament injury
Conditions
Interventions
Interventional group:Using centrally braided graft composed of autologous hamstring tendon combined with LARS artificial ligament
Control group:Using simple autologous hamstring tendon graft
Sponsors
Beijing Chao-Yang Hospital, Capital Medical University
Eligibility
Sex/Gender
All
Age
18 Years to 50 Years
Inclusion criteria
Inclusion criteria: 1.Aged 18-50 years old, maintained a high level of exercise before injury, Tegner motor function score >= 6 points. 2.The diagnosis of unilateral anterior cruciate ligament ( ACL ) complete rupture was confirmed by clinical examination ( Lachman test positive, pivot shift test positive ) and knee MRI. 3.The function of the healthy knee joint was normal, and there was no ligament rupture or operation history. 4.The patients were fully informed and willing to accept randomization ( including possible inclusion in the LARS group and bearing the corresponding consumables costs ), voluntarily signed written informed consent, and were able to cooperate with the completion of the 12-month follow-up and rehabilitation plan.
Exclusion criteria
Exclusion criteria: 1.MRI or intraoperative exploration confirmed multiple ligament injuries such as posterior cruciate ligament ( PCL ), medial collateral ligament ( MCL ) II and above, lateral collateral ligament ( LCL ) or posterolateral corner ( PLC ). 2.MRI or intraoperative arthroscopic exploration showed that there was severe cartilage injury in the affected knee ( Outerbridge grade 3 or above ). 3.The affected knee had a history of surgery ; combined with rheumatoid arthritis, suppurative arthritis and other joint diseases ; patients with severe cardiovascular, liver and kidney dysfunction or severe diabetes and other major systemic diseases that affect surgery and postoperative rehabilitation. 4.After the hamstring tendon was cut during the operation, the diameter of the folded graft was measured to be less than 8mm .
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| return-to-motion rate; | — |
Secondary
| Measure | Time frame |
|---|---|
| difference of forward laxity between knees;lysholm knee rating scale;pivot-shift test;skip test;tibial tunnel width;isokinetic test;international knee documentation committee subjective knee assessment scale;visual analog scale method;anterior cruciate ligament-return to sport after injury;graft maturity;return to exercise time; | — |
Countries
China
Contacts
Public ContactZhou Jingbin
Beijing Chao-Yang Hospital, Capital Medical University
Outcome results
None listed