Anterior Cruciate Ligament instability giving way
Conditions
Interventions
Early ACL-reconstruction ( 3 months)
Sponsors
Academisch Medisch Centrum
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: - Active young (18 - 40) pivoting sportsmen/women or heavy duty workers, Tegner score > 5 - Isolated ACl injury - Ambition to return to pre-injury level - Fresh ACL rupture
Exclusion criteria
Exclusion criteria: - Re-injury ACL ipsilateral - Additional contra- or ipsilateral injury, for example a fracture - Multiple ligamentous injury (MCL-lesion, PCL-rupture, knee luxation, posterolateral instability) - Previous traumasurgery lower extremity, for example pelvic, hip, knee or ankle - Osteoartritis grade IV injured knee - Accompanying neurovascular injury - Loss of Extension > 10 degrees and/or Loss of Flexion > 20 degrees, not induced by a mechanical cause (meniscus interposition, cyclops). This can be diagnosed by MRI or arthroscopy.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Hypothesis: An early ACL-reconstruction will give a shorter period of time-off sports. This will be measured with objective measurements, like various hop tests and proprioception and coordination tests. To investigate whether an early ACL-reconstruction results in a faster functional recovery and a higher level of physical functioning, compared to the usual timing (>3 months after ACL rupture) | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary study parameters: The costs associated with the ACL reconstruction and rehabilitation and costs associated ( time off work, fysiotherapeutic costs, etc) are investigated. The expectation is that they will be lower. | — |
Countries
Netherlands
Outcome results
None listed