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Transtibial Versus Anteromedial Femoral Tunnel Technique in ACL Reconstruction

Prospective Randomized Clinical Study Comparing Anteromedial Portal Versus Transtibial Technique for Femoral Tunnel Positioning in Anterior Cruciate Ligament Reconstruction With Hamstring Autograft

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02633410
Enrollment
96
Registered
2015-12-17
Start date
2007-07-31
Completion date
2015-07-31
Last updated
2015-12-17

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

Conditions

Anterior Cruciate Ligament Reconstruction

Brief summary

The anteromedial (AM) portal technique was introduced to position the femoral tunnel in anterior cruciate ligament (ACL) reconstruction to more closely replicate the original footprint compared to the transtibial (TT) approach.1-5 Few randomized trials have evaluated differences in these techniques with respect to clinical outcomes. The purpose of this study was to determine if there are any differences in clinical outcome between the AM and TT approaches.

Detailed description

The anteromedial (AM) portal technique was introduced to position the femoral tunnel in anterior cruciate ligament (ACL) reconstruction to more closely replicate the original footprint compared to the transtibial (TT) approach.1-5 Few randomized trials have evaluated differences in these techniques with respect to clinical outcomes. The purpose of this study was to determine if there are any differences in clinical outcome between the AM and TT approaches.

Interventions

PROCEDUREFemoral tunnel creation

Arthroscopic surgery approach used to create tunnel in femur into which graft is positioned

Sponsors

Unity Health Toronto
CollaboratorOTHER
Panam Clinic
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)

Eligibility

Sex/Gender
ALL
Age
14 Years to 50 Years
Healthy volunteers
No

Inclusion criteria

* sustained a complete ACL tear and had no other ligament injuries requiring surgical intervention

Exclusion criteria

* concomitant collateral ligament tears * significant chondromalacia (based on diagnostic imaging) * previous lower limb surgery * significant injury to either lower limb requiring surgery * history of arthritis * were unable to comply with rehabilitation protocols or study follow-ups * were pregnant females or had other medical conditions which precluded participation.

Design outcomes

Primary

MeasureTime frame
Anterior cruciate ligament quality of life24-months postoperative

Secondary

MeasureTime frame
KT-100024-months post-operative
Knee range of motion24-months post-operative

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026