Anterior Cruciate Ligament Injuries
Conditions
Keywords
anterior cruciate ligament, reconstruction, robot, tunnel
Brief summary
Accurate ideal graft tunnel positioning is essential for the successful application of anatomic anterior cruciate ligament (ACL) reconstruction. The accurate insertion of the tibial tunnel (TT) and femoral tunnel (FT) remain a challenge. A robotic assisted new strategy for drill TT and FT in ACL reconstruction will be performed and its efficacy and accuracy will be assess. The investigators will prospectively include 30 patients with ACL rupture requiring surgical treatment. The reconstruction will be performed with hamstring tendon graft or patellar tendon graft. The femoral and tibial tunnels placement will be guided by the Rosa robot (Zimmer®).
Interventions
PROCEDUREanatomic anterior cruciate ligament (ACL) reconstruction
The reconstruction will be performed with hamstring tendon graft or patellar tendon graft. The femoral and tibial tunnels placement will be guided by the Rosa robot (Zimmer®).
Sponsors
Centre Hospitalier Universitaire, Amiens
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
10 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* All patients treated at CHU Amiens-Picardie for ACL reconstruction by practitioner who has robot experience. * children and adults from 10 to 45 years old
Exclusion criteria
* Patients managed by another ACL reconstruction technique * Patients under guardianship, curators deprived of liberty * Pregnant and nursing women. * Patient who refused to participate in the study and to sign informed consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Accuracy of tunnel positioning | Day 0; during the operation | Accuracy of tunnel positioning will be evaluated by comparing the theoretical intraoperative position and the actual post-operative position by image fusion |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Range of motion of the knee | day 0, during operation | Range of motion of the knee will be measured with IKCD score (International Knee Documentation Committee) IKCD score : The questionnaire looks at 3 categories: symptoms, sports activity, and knee function. Scores are obtained by summing the individual items, then transforming the crude total to a scaled number that ranges from 0 to 100. This final number is interpreted as a measure of function with higher scores representing higher levels of function. |
| Knee stability | day 0; during operation | Knee stability will be measured with manual test : "pivot shift" |
Countries
France
Contacts
CONTACTFrançois Deroussen, MD
CONTACTMichel Lefranc, MD
PRINCIPAL_INVESTIGATORFrançois Deroussen, MD
CHU Amiens
Outcome results
None listed