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NCT Number: NCT04183803

Robotic Assistance for Tunnel Positioning in Anterior Cruciate Ligament Reconstruction

Accurate ideal graft tunnel positioning is essential for the successful application of anatomic anterior cruciate ligament (ACL) reconstruction. The accurate insertion of the tibial tunnel (TT) and femoral tunnel (FT) remain a challenge.

A robotic assisted new strategy for drill TT and FT in ACL reconstruction will be performed and its efficacy and accuracy will be assess.

The investigators will prospectively include 30 patients with ACL rupture requiring surgical treatment. The reconstruction will be performed with hamstring tendon graft or patellar tendon graft. The femoral and tibial tunnels placement will be guided by the Rosa robot (Zimmer®).

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Key information

Age range

10 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

CHU Amiens

Amiens, 80054, France

Location status: Recruiting

Location contact

Antoine Gabrion, Pr

PRINCIPAL_INVESTIGATOR

Céline Klein, MD

PRINCIPAL_INVESTIGATOR

Francois Deroussen, MD

CONTACT

[email protected]

(33)322087576

Michel Lefranc, MD

CONTACT

[email protected]

(33)322088955

Richard Gouron, Pr

PRINCIPAL_INVESTIGATOR

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • All patients treated at CHU Amiens-Picardie for ACL reconstruction by practitioner who has robot experience.
  • children and adults from 10 to 45 years old

Exclusion criteria

  • Patients managed by another ACL reconstruction technique
  • Patients under guardianship, curators deprived of liberty
  • Pregnant and nursing women.
  • Patient who refused to participate in the study and to sign informed consent

Treatment and study plan

anatomic anterior cruciate ligament (ACL) reconstruction

Procedure

The reconstruction will be performed with hamstring tendon graft or patellar tendon graft. The femoral and tibial tunnels placement will be guided by the Rosa robot (Zimmer®).

Primary outcomes

  1. Accuracy of tunnel positioning

    Time frame: Day 0; during the operation

    Accuracy of tunnel positioning will be evaluated by comparing the theoretical intraoperative position and the actual post-operative position by image fusion

Secondary outcomes

  1. Range of motion of the knee

    Time frame: day 0, during operation

    Range of motion of the knee will be measured with IKCD score (International Knee Documentation Committee) IKCD score : The questionnaire looks at 3 categories: symptoms, sports activity, and knee function. Scores are obtained by summing the individual items, then transforming the crude total to a scaled number that ranges from 0 to 100. This final number is interpreted as a measure of function with higher scores representing higher levels of function.

  2. Range of motion of the knee

    Time frame: up to 2 years; during follow-up

    Range of motion of the knee will be measured with IKCD score (International Knee Documentation Committee) IKCD score : The questionnaire looks at 3 categories: symptoms, sports activity, and knee function. Scores are obtained by summing the individual items, then transforming the crude total to a scaled number that ranges from 0 to 100. This final number is interpreted as a measure of function with higher scores representing higher levels of function.

  3. Range of motion of the knee

    Time frame: up to 2 years; during follow-up

    Range of motion of the knee will be measured with Lysholm (Lysholm Knee Score)

    Lysholm Knee Score : measure the domain of functioning in sports and recreational activities. This scale consists of eight items. It is scored on a scale of 0 to 100, with higher scores indicating fewer symptoms and higher levels of functioning.

  4. Range of motion of the knee

    Time frame: day 0, during operation

    Range of motion of the knee will be measured with Lysholm (Lysholm Knee Score)

    Lysholm Knee Score : measure the domain of functioning in sports and recreational activities. This scale consists of eight items. It is scored on a scale of 0 to 100, with higher scores indicating fewer symptoms and higher levels of functioning.

  5. Range of motion of the knee

    Time frame: up to 2 years; during follow-up

    Range of motion of the knee will be measured with ACL-RSI (Psychological ACL-RSI Score).

    Psychological ACL-RSI Score : measure patient psychological impact. This test includes 12 questions. Higher score describes no knee pathology.

  6. Range of motion of the knee

    Time frame: day 0, during operation

    Range of motion of the knee will be measured with ACL-RSI (Psychological ACL-RSI Score).

    Psychological ACL-RSI Score : measure patient psychological impact. This test includes 12 questions. Higher score describes no knee pathology.

  7. Knee stability

    Time frame: day 0; during operation

    Knee stability will be measured with manual test : "pivot shift"

  8. Knee stability

    Time frame: day 0; during operation

    Knee stability will be measured with manual test : radiography images.

  9. Knee stability

    Time frame: up to 2 years; during follow-up

    Knee stability will be measured with manual test : "pivot shift"

  10. Knee stability

    Time frame: up to 2 years; during follow-up

    Knee stability will be measured with manual test : radiography images.

Study contacts

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

François Deroussen, MD

CONTACT

[email protected]

(33)322087576

Michel Lefranc, MD

CONTACT

[email protected]

(33)22088955

Sponsors and collaborators

Lead sponsor

Centre Hospitalier Universitaire, Amiens

Other

Registry information

Acronym: MIRRACL

Important dates

Study start
2019
Primary completion
2026
Study completion
2027
First posted
Dec 3, 2019
Registry last updated
May 13, 2026

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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