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NCT Number: NCT06575543

CT Evaluation of ACL Anatomical Reconstruction

Our research is to evaluate the position and length of femoral tunnel, and to examine whether knee stability and clinical functional outcomes are better while using two-portal or three-portal technique .

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Key information

Conditions

ACL Tear Anterior Cruciate Ligament Injuries Knee Injuries Leg Injuries Wounds and Injuries

Age range

16 year–50 year

Sex eligibility

All sexes

Study type

Observational

Primary location

Assiut University

Asyut, Egypt

About this study

Arthroscopic anterior cruciate ligament (ACL) reconstruction is one of the most often performed orthopedic surgeries . Restoration of normal anatomy after ACL reconstruction is related to achieve better function and a satisfactory long-term outcomes. The principles for anatomical ACL reconstruction are to functionally reestablish the ACL to its native dimensions, collagen orientation and insertion sites . The basis for the completion of these principles lies in the correct identification of the insertion sites. The conventional 2-portal technique uses the anterolateral portal as the viewing portal and the anteromedial portal as the working portal. the 3-portal technique allows interchangeable use of the portals as a viewing and working portals depending on the specific task that is being performed. The internal joint anatomy, as soft tissue remnants and bony landmarks, should guide the placement of the portals in ACL anatomical reconstruction and that each of the portals has a specific role during ACL anatomical reconstruction . So does the improved visualization through 3-portal technique compared to 2-portal technique have an impact on femoral tunnel position ?

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Age ( 16 - 50 ) .
  • Isolated ACL tear with or without meniscal inj
  • Patient who have undergone ACL reconstruction in the last 5 years in Arthroscopy and sports injuries unit .

Exclusion criteria

  • 1- Age ( < 16 ) 2- Patient with multi ligamentous inj . 3- Revision ACL tear .

Treatment and study plan

CT

Radiation

3D CT scan have been used to evaluate the tunnels location after ACL reconstruction, as they can provide excellent perspective of the tunnel aperture, good visualization of bony structure and shape of the intercondylar notch, that preclude the use of a conventional 2-dimensional CT scan for measurement of the ACL tunnels location

Primary outcomes

  1. Ct evaluation

    Time frame: 1 day after surgery

    3D CT scan have been used to evaluate the tunnels location after ACL reconstruction, as they can provide excellent perspective of the tunnel aperture, good visualization of bony structure and shape of the intercondylar notch, that preclude the use of a conventional 2-dimensional CT scan for measurement of the ACL tunnels location

Secondary outcomes

  1. Clinical Examination &amp;amp; Functional scores

    Time frame: at least 2 years after surgery

    • KOOS ( Knee Injury &amp;amp; Osteoarthritis Outcome ) The KOOS's five patient-relevant dimensions are scored separately: Pain (nine items); Symptoms (seven items); ADL Function (17 items); Sport and Recreation Function (five items); Quality of Life (four items). A Likert scale is used and all items have five possible answer options scored from 0 (No problems) to 4 (Extreme problems) and each of the five scores is calculated as the sum of the items included. Scores are transformed to a 0-100 scale, with zero representing extreme knee problems and 100 representing no knee problems as common in orthopaedic scales and generic measures. Scores between 0 and 100 represent the percentage of total possible score achieved.

Study contacts

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

Mohamed Ali Masoud, lecturer

CONTACT

[email protected]

+201092698830

Mostafa Almeldien Mohamed, master degree

CONTACT

[email protected]

0884695376 ext. +201020567115

Sponsors and collaborators

Lead sponsor

Assiut University

Other

Registry information

Official study title

Anatomical Transportal ACL Reconstruction : Effect of Using 2 or 3 Portal Technique on Femoral Tunnel Position

Important dates

Study start
2024
Primary completion
2025
Study completion
2025
First posted
Aug 28, 2024
Registry last updated
Sep 3, 2024

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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