Knee Injuries and Disorders
Conditions
Keywords
ACLR, Quadricepses tendon graft, hamstring tendon graft
Brief summary
The purpose of this CRT study is to compare clinical and functional outcomes of three graft types ( Quadriceps tendon with bone versus Hamstring tendon versus Quadriceps tendon without bone) for reconstration of anterior cruciate ligament among football players.
Detailed description
In the previous studies patellar tendon and hamstring tendon were the most investigated graft types. While quadriceps tendon has been investigated a fewer times. And to our knowledge there is no control study that compare quadriceps tendon-patellar bone autograft with Quadriceps Autograft and Hamstring Autograft as control randomized study. All of the patients will be examined before of the surgery and 3, 6, 12, 24 months after the surgery to compare the outcome of differnt graft types. While a secand aim of this study is to examen the effect of rehabilitation protocol on the short and long term within all of the clinical and the functional outcomes. The rehabilitation protocol will contain one phase before the surgery and four phases after the surgery.The goal of the first phase will be pain and inflammation control, increase ROM and muscle strength will be during the second and the third phases.In the last phase all of the players have to achieve maximum muscle strength and neuromuscular control.
Interventions
PROCEDUREANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION WITH QUADRICEPS TENDON WITH BONE GRAFT
Quadriceps tendon with pattlar bone will used for grating
PROCEDUREANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION WITH HAMSTRING TENDON GRAFT
Hamstring tendon with will used for grating
PROCEDUREANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION WITH QUADRICEPS TENDON WITHOUT BONE GRAFT
Quadriceps tendon without pattlar bone will used for grating
All patients will receive six months rehabilitation program which aim to recover the strength and function
Sponsors
Universidad de Granada
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Investigator)
Masking description
the researcher will evaluate each patient without knowing the type of grafting that will be applied
Eligibility
Sex/Gender
ALL
Age
16 Years to 40 Years
Healthy volunteers
No
Inclusion criteria
* Patients with ACL injury susceptible to receive a surgical reconstruction. * Autograft with Hamstring tendon ,quadriceps tendon or quadriceps tendon with patellar bone. * Soccer player for more than 3 years. * Between 16 and 40 years old.
Exclusion criteria
* Patient with previous joint injury. * Patient with previous surgery on the affected knee. * patient with previous musculoskeletal injury (4 weeks) * Patient with untreated chronic injury.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| change of Isokinetic strenght test | Patients will be examined before , after 3 , 6 12 and 24 month of the surgery | the assessment will be made with GENU 3 dynamometer (GENU 3, Easytech, Firenze, Italy), using isokinetic parameters at angular velocities of 60°/sec (3 repetitions), 180°/sec (5 repetitions) and 300°/sec (15 repetitions) with 30 seconds of rest among these. To determine the height of the chair, the lateral femoral condyle was aligned with the rotational axis of the dynamometer. The peak torque, average torque and flexor-extensor torque rate value. Patients will be warm up in a cycle ergometer previously (5 min) and them performing mobilization exercises and stretching in lower limbs (5 min). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| MUSCLE ARQUITECTURE | Patients will be examined before , after 3 , 6 12 and 24 month of the surgery | an ultrasound device (MyLab™ 25, Esaote Medical Systems,Genova, Italy) and a 12 MHz linear probe will be used in this study. The depth and width of quad tendon and articular cartilage of femoral trochlea will be captured. |
| ANTEROPOSTERIOR LAXITY | Patients will be examined before , after 3 , 6 12 and 24 month of the surgery | it will be measured using the KT-2000 TM arthrometer (MEDmetric, Sn Diego, CA, USA) |
| Tegner questionnaire | Patients will be examined before , after 3 , 6 12 and 24 month of the surgery | It is a subjective satisfaction index of on a scale of 0 to 100 |
| Single-legged hop test | Patients will be examined before , after 3 , 6 12 and 24 month of the surgery | The patient is placed standing on one leg and must jump as far as possible landing on the same leg. |
| Visual Analogical Scale | Patients will be examined before , after 3 , 6 12 and 24 month of the surgery | the participants will be completed a visual analogue scale (0-10 points) to assess the presence of knee pain. |
| Pressure Pain Thresholds | Patients will be examined before , after 3 , 6 12 and 24 month of the surgery | We will use an electronic algometer (Somedic AB, Farsta, Sweden) over 6 points: epicondyle (1), at the midpoint between the greater trochanter and the lateral condyle of the femur on the external (2), at three centimeters above the patella in the vastus medialis (3), at the midpoint between the lower pole of the patella and the anterior tuberosity of the tibia (4), at 3 cm above the patella in midline of the thigh (5) and at the inclusion of the goose leg. The mean of 3 trials will be used for the main analysis. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Lean Mass | Patients will be examined before , after 3 , 6 12 and 24 month of the surgery | kg of lean mass will be assessed by with bioelectrical impedance analysis (Inbody 720; Biospace, Seoul, South Korea) |
| Body Mass Index ) | Patients will be examined before , after 3 , 6 12 and 24 month of the surgery | in kg/m2, will be assessed by with bioelectrical impedance analysis (Inbody 720; Biospace, Seoul, South Korea |
| Fat mass | Patients will be examined before , after 3 , 6 12 and 24 month of the surgery | %fat mass will be assessed by with bioelectrical impedance analysis (Inbody 720; Biospace, Seoul, South Korea) |
Countries
Spain
Outcome results
None listed