Anterior Cruciate Ligament Injuries
Conditions
Brief summary
To determine the Effect of multiple instrumentation regarding bacterial contamination in transportal and transtibial techniques in ACL reconstruction .A Randomized controlled study
Detailed description
Infection is a catastrophic and one of the most dreaded complications in orthopaedic surgery. Several measures have been undertaken to reduce the risk of infection, one of which is the use of systemic prophylactic antibiotics. The purpose of this study is to determine the effect of multiple instrumentation regarding bacterial contamination in transportal and transtibial techniques in ACL reconstruction . About Eighty consecutive patients having surgical indication for ACL-R will be included, the cases will be divided into two groups, 35 cases will undergo for the transtibial technique and the other 45 cases will undergo for the transportal technique. After preparation, swabs will be obtained from subcutaneous tissue at antromedial portal track in transportal technique (femoral tunnel drilling) and in transtibial technique before and after the instrumentation and femoral screw insertion, a control sample will be taken at antrolateral track in both techniques, then samples will be sended to the lab to be studied.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
1. Isolated ACL Injury. 2. Non deformed knee.
Exclusion criteria
1. Associated knee injury (eg. PCL). 2. Deformed knee ( eg. genu varus , genu valgus more than 4 degree ) 3. patient with medical history of being immune compromized patient eg,DM
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Assessment the concentration of contamination in ACL operation. | Through study completion, an average of 1 year. | Effect of instrumentation on contamination of the operation,swabs will be obtained intraoperative for cultures. |
Countries
Egypt