Recruiting NCT05701592
Assessment of Outcomes of Double-bundle Posterior Cruciate Ligament Reconstruction (DB-PCLR)
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: DB-PCLR.
- Who it may be relevant to
- Registry conditions: Posterior Cruciate Ligament Tear. Basic parameters: from 18 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Poland
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
Unsure about the terms? Read our patient guide →
Overview
Double-bundle Posterior Cruciate Ligament Reconstruction (DB-PCLR) is becoming increasingly used alternative to the single-bungle PCLR. While more technically challenging, it seems to better improve patients' outcomes. Therefore, outcomes of DB-PCLR will be assessed and reported.
Interventions
- Procedure DB-PCLR
DB-PCLR with reconstruction of both PCL bundles: anterolateral and posteromedial bundle will be performed.
Primary outcome measures
- Knee posterior translatory stability - posterior sag test [Time frame: At the 12 month of the follow-up.]
- Knee posterior translatory stability - posterior drawer test [Time frame: At the 12 month of the follow-up.]
- Knee posterior translatory stability - posterior Lachman test [Time frame: At the 12 month of the follow-up.]
- Knee posterior translatory stability - stress X-ray [Time frame: At the 12 month of the follow-up.]
- Knee internal rotation stability [Time frame: At the 12 month of the follow-up.]
- Knee posterior translatory stability - posterior sag test [Time frame: At the 24 month of the follow-up.]
- Knee posterior translatory stability - posterior drawer test [Time frame: At the 24 month of the follow-up.]
- Knee posterior translatory stability - posterior Lachman test [Time frame: At the 24 month of the follow-up.]
- Knee posterior translatory stability - stress X-ray [Time frame: At the 24 month of the follow-up.]
- Knee internal rotation stability [Time frame: At the 24 month of the follow-up.]
Secondary outcome measures (8)
- The functional assessment with the The International Knee Documentation Committee Questionnaire (IKDC) [Time frame: At the 12 month of the follow-up.]
- The functional assessment with the The International Knee Documentation Committee Questionnaire (IKDC) [Time frame: At the 24 month of the follow-up.]
- The functional assessment with the Knee injury and Osteoarthritis Outcome Score (KOOS) [Time frame: At the 12 month of the follow-up.]
- The functional assessment with the Knee injury and Osteoarthritis Outcome Score (KOOS) [Time frame: At the 24 month of the follow-up.]
- Retear rate [Time frame: At the 12 month of the follow-up.]
- Retear rate [Time frame: At the 24 month of the follow-up.]
- ROM [Time frame: At the 12 month of the follow-up.]
- ROM [Time frame: At the 24 month of the follow-up.]
Eligibility criteria
Inclusion criteria
- PCL tear with III grade sympomatic posterior instability confirmed clinically and radiologically
- full knee range of motion
Exclusion criteria
- active knee inflammation
- non-adherence to the study protocol
- fixed posterior drawer
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Observational model
- Cohort
Study locations
Poland · 1 center
- Artromedical Orthopaedic Clinic — Bełchatów
Publications
- Chahla J, Moatshe G, Cinque ME, Dornan GJ, Mitchell JJ, Ridley TJ, LaPrade RF. Single-Bundle and Double-Bundle Posterior Cruciate Ligament Reconstructions: A Systematic Review and Meta-analysis of 441 Patients at a Minimum 2 Years' Follow-up. Arthroscopy. 2017 Nov;33(11):2066-2080. doi: 10.1016/j.arthro.2017.06.049. Epub 2017 Aug 31. PMID 28866340
- Knapik DM, Gopinatth V, Jackson GR, Chahla J, Smith MV, Matava MJ, Brophy RH. Global variation in isolated posterior cruciate ligament reconstruction. J Exp Orthop. 2022 Oct 9;9(1):104. doi: 10.1186/s40634-022-00541-4. PMID 36209443
- LaPrade RF, Cinque ME, Dornan GJ, DePhillipo NN, Geeslin AG, Moatshe G, Chahla J. Double-Bundle Posterior Cruciate Ligament Reconstruction in 100 Patients at a Mean 3 Years' Follow-up: Outcomes Were Comparable to Anterior Cruciate Ligament Reconstructions. Am J Sports Med. 2018 Jul;46(8):1809-1818. doi: 10.1177/0363546517750855. PMID 29953296
- Bernhardson AS, DePhillipo NN, Aman ZS, Kennedy MI, Dornan GJ, LaPrade RF. Decreased Posterior Tibial Slope Does Not Affect Postoperative Posterior Knee Laxity After Double-Bundle Posterior Cruciate Ligament Reconstruction. Am J Sports Med. 2019 Feb;47(2):318-323. doi: 10.1177/0363546518819786. Epub 2019 Jan 18. PMID 30657698
Identifiers
NCT: NCT05701592 · 2-pro-ar-2023