Anterior Cruciate Ligament Rupture
Conditions
Keywords
All-inside Techniques
Brief summary
This study aims to compare the functional outcomes of patients with ACL rupture following ACL reconstruction surgery using hamstring grafts, between the all-inside technique and the complete tibial tunnel technique. The hamstring graft, which serves as the tissue substitute for the damaged ACL, is harvested from the posterior thigh of the patient and used to replace the torn ligament during reconstruction
Detailed description
This Study was conducted usingdouble blind randomized controlled trial (RCT), patients who agree to participate in the study will be randomized to undergo ACL reconstruction using either the All-inside technique or the complete tibial tunnel technique. Clinical outcomes, including tibial translation, pain severity, IKDC score, and Tegner score, will be evaluated through anamnesis and physical examination at the outpatient orthopedic clinic at 3, 6, 9, and 12 months postoperatively.
Interventions
PROCEDUREAll-Inside Techniques
All-inside ACL reconstruction technique avoids creating full-length bone tunnels. Instead, it uses retrograde drilling to form bone sockets, and the graft is secured with adjustable-loop suspensory fixation on both the femur and tibia.
PROCEDUREComplete Tibial Tunnel techniques
Complete Tibial Tunnel Technique is a conventional technique for ACL reconstruction which involves the creation of full-length bone tunnels in the tibia for graft passage via an anterograde approach. Graft fixation is typically achieved using a bio-interference screw on the tibial side and a fixed-loop suspensory device on the femoral side
Sponsors
Indonesia University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Patients with anterior cruciate ligament rupture * Patients within the age range of 18 to 65 years
Exclusion criteria
* Patients with Multiple Ligament Injuries in the Knee Joint * Patients with a pregnancy condition * Patients with Severe Osteochondral Defect (ICRS 4) * Patients with signs of inflamation in knee joint
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Tibial Translation | Before surgery, 3rd month, 6th month, 9th month, and 12 month after surgery | Objective measurement of the anterior tibial translation relative to the femur will be performed using a rolimeter during the Lachman test. |
| Pain scale using Visual Analogue Scales | Before surgery, 3rd month, 6th month, 9th month, and 12 month after surgery | Pain scale on the injured knee, where the minimum value is 0 = no pain, and the maximum value is 100 = severe pain. A higher scale means worse outcomes. |
| International Knee Documentation Comittee (IKDC) Score | Before surgery, 3rd month, 6th month, 9th month, and 12 month after surgery | Knee Function Assessment |
| Tegner-Lysholm Score Knee Scoring Scale | Before surgery, 3rd month, 6th month, 9th month, and 12 month after surgery | a tool to assess knee function |
| Hamstring Graft Diameter | Intra-operative | The thickness of the hamstring graft after harvesting and folding will be measured using a sizing block with various intra-operative hole sizes |
Countries
Indonesia
Contacts
Primary ContactProf. Dr. dr. Andri M.T. Lubis SpOT (K)
Outcome results
None listed