Long-term Clinical and Radiographic Results of Revision Anterior Cruciate Ligament Reconstruction Using a Single-bundle Technique and External Tenodesis With Achilles Tendon Allograft.
Ориентир для пациента и семьи
Простыми словами
Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.
- Что изучают
- Это наблюдательное исследование: исследуемое лечение участникам по протоколу не назначают.
- Кому может быть актуально
- Состояния в реестре: ACL, LET. Базовые параметры: 18 лет — 50 лет · Все.
- Что важно проверить
- Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
- Где проводится
- Италия
- Следующий шаг
- Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →
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Официальное название
Long-term Clinical and Radiographic Results of Revision Anterior Cruciate Ligament Reconstruction Using Over The Top Single-bundle Technique and Lateral Extra-articular Tenodesis With Achilles Tendon Allograft.
Обзор
Several techniques for revision of anterior cruciate ligament (ACL) reconstruction and different types of grafts have been used over the years. These include single-bundle techniques, double-bundle techniques, and single-bundle techniques with external tenodesis. We also distinguish between the use of autografts and grafts from donors, or allografts. The choice of surgical technique and graft type is strongly influenced by the progression of damage characterizing these patients (meniscal, chondral, or ligamentous), the surgical decisions made during the initial surgery (graft used, orientation, and number of bone tunnels), or any complications that occurred. The use of a specific type of graft is heavily dependent on its availability: it is likely that the first-choice graft for some surgeons may be unavailable because it has already been used. The use of allografts is now commonly accepted by the scientific community, with the Achilles tendon standing out for its biomechanical properties and size. Unlike autografts, it does not damage the patient's ligamentous tissue, which is thus preserved. Since osteoarthritis is one of the most debated consequences of anterior cruciate ligament revision, an analysis of the results is essential to provide a clearer understanding of the risks and benefits associated with the different types of procedures.
Первичные конечные точки
- Lysholm Knee Score [Срок оценки: At least 24 months after surgery]
Вторичные конечные точки (11)
- Physical examination [Срок оценки: At least 24 months after surgery]
- Anterior drawer test [Срок оценки: 24 months after surgery]
- Lachman test [Срок оценки: At least 24 months after surgery]
- Pivot shift test [Срок оценки: At least 24 months after surgery]
- International Knee Documentation Committee (IKDC) [Срок оценки: At least 24 months after surgery]
- VAS [Срок оценки: At least 24 months after surgery]
- Tegner score [Срок оценки: At least 24 months after surgery]
- PASS score [Срок оценки: At least 24 months after surgery]
- Weight-bearing X-ray of the operated knee (Kellgren-Lawrence scale). [Срок оценки: At least 24 months after surgery]
- KT-1000 [Срок оценки: At least 24 months after surgery]
- KYRA [Срок оценки: At least 24 months after surgery]
Критерии участия
Критерии включения
- Age between 18 and 50 years at the time of surgery;
- Male and female gender;
- Patients who have undergone revision of anterior cruciate ligament reconstruction with a single-bundle "Over-The-Top" technique and external tenodesis using Achilles tendon allograft, with or without associated procedures, at least 2 years post-surgery;
- A radiograph taken immediately before or after the surgery of the affected knee;
- Patients who have provided consent to participate in the study.
Критерии исключения
- Patients no longer accessible;
- Patients who deny consent to participate in the study;
- Advanced knee osteoarthritis (Outerbridge grade III-IV) at the time of surgery;
- Severe obesity (BMI > 35);
- Lower limb conditions that prevent the patient from maintaining an upright position with full weight-bearing during the assessment;
- Infection or hematological or rheumatic conditions at the time of the assessment.
Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.
Здоровые добровольцы: Нет
Дизайн исследования
- Модель наблюдения
- Когортное
Центры проведения
Италия · 1 центр
- IRCCS Istituto Ortopedico Rizzoli — Bologna
Идентификаторы
NCT: NCT06868147 · ACL_REVISION_SBLP