Comparing two surgical techniques for anterior cruciate ligament (ACL) reconstruction

Anatomic medial portal vs all inside arthroscopic ACL reconstruction: a randomised controlled trial comparing hamstring strength and functional outcome

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

ISRCTN

Registry ID

ISRCTN55542036

Enrollment

Registered

2020-01-21

Start date

2020-02-01

Completion date

Unknown

Last updated

2020-08-17

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Anterior cruciate ligament (ACL) reconstruction using two different surgical techniques Surgery

Interventions

Randomisation process: Patients are randomised into two groups using a computer-based randomization technique. Patients in group A will undergo anterior cruciate ligament reconstructio

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: 1. Aged 18-50 years 2. Undergoing ACL reconstruction following traumatic injury

Exclusion criteria

Exclusion criteria: 1. Multiligamentous injury 2. Patient declines participation or lacks capacity to consent 3. Pregnant 4. Prisoner

Design outcomes

Primary

Measure	Time frame
Hamstring:quadriceps (H:Q) strength ratio measured using an isokinetic dynamometer at 6 months after surgery	—

Secondary

Measure	Time frame
1. Patient's assessment of knee function assessed using the International Knee Documentation Committee (IKDC) questionnaire at 6 weeks, 3 months, 9 months and 18 months post-surgery 2. Psychological readiness to return to sport after anterior cruciate ligament (ACL) injury and reconstruction surgery assessed using the Anterior Cruciate Ligament Return to Sport After Injury (ACL-RSI) questionnaire at 6 weeks, 3 months, 9 months and 18 months post-surgery 3. Knee function assessed using hop testing (single hop distance, triple hop distance and crossover hop distance) at 6 months post-surgery 4. Limb symmetry assessed using Limb symmetry Index (LSI) at 6 months 5. Hip muscle strength assessed using an isokinetic dynamometer at 6 months post-surgery 6. Hip muscle stability assessed at 6 months by clinical examination checking for proximal hip muscle strength, followed by hop testing. 7. Early graft failure assessed assessed as per patient's symptoms and clinical examination during each visit with the surgeons and physiotherapists. 8. Post-operative pain assessed using a visual analogue scale (VAS) on the day of surgery, prior to discharge by the physiotherapist, and the patient will be asked to maintain a diary scoring pain three times daily for the first 2 weeks 9. Length of operating time recorded in the operating notes 10. Grade of surgeon recorded in the operating notes	—

Measure

Time frame

1. Patient's assessment of knee function assessed using the International Knee Documentation Committee (IKDC) questionnaire at 6 weeks, 3 months, 9 months and 18 months post-surgery 2. Psychological readiness to return to sport after anterior cruciate ligament (ACL) injury and reconstruction surgery assessed using the Anterior Cruciate Ligament Return to Sport After Injury (ACL-RSI) questionnaire at 6 weeks, 3 months, 9 months and 18 months post-surgery 3. Knee function assessed using hop testing (single hop distance, triple hop distance and crossover hop distance) at 6 months post-surgery 4. Limb symmetry assessed using Limb symmetry Index (LSI) at 6 months 5. Hip muscle strength assessed using an isokinetic dynamometer at 6 months post-surgery 6. Hip muscle stability assessed at 6 months by clinical examination checking for proximal hip muscle strength, followed by hop testing. 7. Early graft failure assessed assessed as per patient's symptoms and clinical examination during each visit with the surgeons and physiotherapists. 8. Post-operative pain assessed using a visual analogue scale (VAS) on the day of surgery, prior to discharge by the physiotherapist, and the patient will be asked to maintain a diary scoring pain three times daily for the first 2 weeks 9. Length of operating time recorded in the operating notes 10. Grade of surgeon recorded in the operating notes

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Countries

United Kingdom

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 4, 2026