Ruptured Achilles Tendon
Conditions
Brief summary
The purpose of the proposed study is to evaluate the effect of lateral extra-articular tenodesis (LET) on anterior cruciate ligament reconstruction through evaluation of postoperative magnetic resonance imaging (MRI). This will be a single-center non-randomized controlled study. The study is comparing postoperative graft MRI findings in two cohorts: patients undergoing isolated ACLR and patients undergoing ACLR with lateral extra-articular tenodesis (LET). Postoperative MRIs will be obtained at 6, 9 and 12 months postoperatively.
Interventions
DIAGNOSTIC_TESTAnterior cruciate ligament Reconstruction (ACLR)
All patients will undergo an anatomic ACLR via a standardized fashion using BTB autograft.
DIAGNOSTIC_TESTACLR with lateral extra-articular tenodesis (LET)
All LETs will be performed in a standardized fashion using the modified Lameire technique. All patients will undergo an anatomic ACLR via a standardized fashion using BTB autogaft graft.
Sponsors
NYU Langone Health
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
DIAGNOSTIC
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
13 Years to 25 Years
Healthy volunteers
No
Inclusion criteria
* ACL deficient knee * skeletally mature (as defined by closed growth plates on plain radiograph) * at least 13 years of age * less than 26 years of age * not pregnant * two or more of following criteria: competitive pivoting sport, grade 2 pivot shift or - greater, generalized ligament laxity (beighton score of 4 or greater ) * no concomitant lateral meniscus tear
Exclusion criteria
* knee with intact ACL * skeletally immature (as defined by open physis on plain radiograph) * less than two of following criteria: competitive pivoting sport, grade 2 pivot shift or - greater, generalized ligament laxity (beighton score of 4 or greater ) * pregnant * less than 13 years of age * older than age 25 * previous ACL repair * concomitant lateral meniscus tear * unable to speak english or perform informed consent * multiligamentous knee injury (two or more ligaments requiring surgical attention) * varus or valgus malalignment greater than 3 degrees
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Determine if ACLR supplementation with LET results in superior MRI findings relative to ACLR alone | 1 Year | MRI findings will be compared in patients receiving ACLR+LET versus just ACLR |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Graft Failure | 1 Year | Defined as either symptomatic instability requiring revision or symptomatic instability with positive pivot shift or asymmetrical pivot shift greater than the contralateral side. |
Countries
United States
Outcome results
None listed