Anterior Cruciate Ligament Injuries
Conditions
Keywords
Rolimeter, ACLR, internal suture augmentation, IKDC score, Lysholm score
Brief summary
The purpose of this study is (1) To report, compare and corelate the patient reported outcomes (PRO) (IKDC score, Lysholm Score) and range of motion (ROM) among patients following hamstring autograft ACLR with and without independent suture tape reinforcement against objective laxity test using Lachmeter. (2) Rate of complications and reoperation.
Detailed description
Investigators performed a randomized control trial in two groups utilizing All- inside ACLR. Group I was augmented by suture tape and Group 2 without suture tape augmentation. From October 2018 to June 2020, 20 patients underwent all-inside ACL reconstruction with internal suture augmentation technique (Group I, Brace group) and the other 18 patients underwent all- inside ACL reconstruction without internal suture augmentation technique (Group II, non-brace group). Demographic data (age, sex, side of injury, time since injury), manual assessment (Lachman test, pivot shift test, ROM), PROs (IKDC score, Lysholm score) and Lachmeter examination were collected and analyzed at fixed time points during follow-up period as mean duration of follow up in our series was 18 months ± 3.4 (range, 12-24 months).
Interventions
PROCEDUREall- inside anterior cruciate ligament reconstruction
all- inside anterior cruciate ligament reconstruction with internal suture augmentation technique
Sponsors
Ain Shams University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
Randomized controlled trial
Eligibility
Sex/Gender
ALL
Age
20 Years to 35 Years
Healthy volunteers
No
Inclusion criteria
* Age 20-35 years old. * Patients will be diagnosed as ACL tear by the following: I. History of knee traumatic event. II. Clinical examination (ant. Drawer test, Lachman test and pivot shift test). III. Radiological evidence of ACL tear by MRI.
Exclusion criteria
* Other intra or extra articular knee injuries. * Previous ACL surgery on the affected knee. * Bilateral ACL injuries. * Significant Articular surface injury. * Medical comorbidities * Patients with malalignment (genu varum. Genu valgum and Genu recurvatum) * Neuromuscular disorders
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Lachmeter examination | 9 months | objective measurement of knee laxity |
| Lysholm score | 9 months | subjective knee functional score (0 - 100) score. 100 is better in function |
| International Knee Documentation score (IKDC) score | 9 months | subjective knee functional score (0 - 100) score. 100 is better in function |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| knee ROM | 9 months | post- operative knee ROM |
Countries
Egypt
Outcome results
None listed