Cruciate Ligament Rupture Clinical Trial
Official title:
Biomechanical Assessment of the Reconstruction of the Anterolateral Ligament During ACL Surgery. The In-vivo Study
The objective of this randomised cohort study was to evaluate the knee rotational stability after the single-bundle ACL reconstruction (SB) with addition of the ALL reconstruction and to compare it with the double-bundle ACL reconstruction technique (DB) and to analyse when the ALL is necessary to reconstruct.
Background Rotational instability after the anterior cruciate ligament (ACL) injury and
subsequent reconstruction may be caused by the rupture of the anterolateral structures of
the knee, specifically the anterolateral ligament (ALL).
There are more techniques to improve the rotational stability of the knee. The objective of
this randomised cohort study was: (1) To evaluate the knee rotational stability after the
single-bundle ACL reconstruction (SB) with addition of the ALL reconstruction and to compare
it with the double-bundle ACL reconstruction technique (DB). (2) To analyse when the ALL is
necessary to reconstruct.
Methods 60 patients underwent the ACL reconstruction with the average age of 29.5 years. In
thirty patient's knees the ACL was replaced with quadriceps muscle graft using the SB
technique in combination with the ALL reconstruction by the gracilis graft (ALL group). With
another thirty patients the ACL was reconstructed performing DB technique with the use of
hamstring tendons (DB group). The rotational stability was studied before and after the
reconstruction of the ACL in time "zero" using the computer navigation system. In the ALL
group, the rotational stability was also analysed after the ALL reconstruction.
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Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Single Blind (Subject), Primary Purpose: Treatment
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