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NCT Number: NCT07023653

Comparison of Clinical Outcomes Between All-Inside and Complete Tibial Tunnel Techniques in Anterior Cruciate Ligament Reconstruction Among Patients With ACL Ruptures

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

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Key information

Age range

18 year–65 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Indonesian University Hospital, Depok, Indonesia

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About this study

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.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

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

Treatment and study plan

All-Inside Techniques

Procedure

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.

Complete Tibial Tunnel techniques

Procedure

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

Primary outcomes

  1. Tibial Translation

    Time frame: 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.

  2. Pain scale using Visual Analogue Scales

    Time frame: 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.

  3. International Knee Documentation Comittee (IKDC) Score

    Time frame: Before surgery, 3rd month, 6th month, 9th month, and 12 month after surgery

    Knee Function Assessment

  4. Tegner-Lysholm Score Knee Scoring Scale

    Time frame: Before surgery, 3rd month, 6th month, 9th month, and 12 month after surgery

    a tool to assess knee function

  5. Hamstring Graft Diameter

    Time frame: 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

Study contacts

Contact information is provided by the study sponsor or research team.

Prof. Dr. dr. Andri M.T. Lubis SpOT (K)

CONTACT

[email protected]

+628161177078

Sponsors and collaborators

Lead sponsor

Indonesia University

Other

Registry information

Important dates

Study start
2024
Primary completion
2025
Study completion
2026
First posted
Jun 17, 2025
Registry last updated
Jun 17, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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