protocolSection identificationModule nctId: NCT06341192, orgStudyIdInfo id: ChangGungMH ALL SB DB, briefTitle: Comparison Between Combined ALLR With Single Bundle and Double Bundle Anterior Cruciate Ligament Reconstruction, acronym: ALLR, statusModule overallStatus: NOT_YET_RECRUITING, startDateStruct date: 2024-05-01, primaryCompletionDateStruct date: 2026-08-31, completionDateStruct date: 2026-10-31, studyFirstPostDateStruct date: 2024-04-02, lastUpdatePostDateStruct date: 2024-04-26, sponsorCollaboratorsModule leadSponsor name: Chang Gung Memorial Hospital, class: OTHER, descriptionModule briefSummary: The goal of this clinical trial is to test and compare different surgical techniques in patients with anterior cruciate ligament (ACL) injuries. The main questions it aims to answer are:* What are the optimal criteria for selecting between single-bundle ACL reconstruction combined with anterolateral ligament (ALL) reconstruction versus double-bundle ACL reconstruction combined with ALL reconstruction?* How do these two surgical techniques compare in terms of post-operative knee stability, functional outcomes, and reducing re-tear rates?Participants will:* Undergo pre-operative MRI imaging, ligament stability testing, and motion analysis evaluations* Be randomly assigned to either:  * Single-bundle ACL + ALL reconstruction  * Double-bundle ACL + ALL reconstruction* Receive the assigned surgical procedure* Participate in post-operative follow-ups, ligament stability testing, and motion analysis at 6 months and 1 yearResearchers will compare the single-bundle ACL + ALL group and the double-bundle ACL + ALL group to see if one technique demonstrates superior knee stability, functional outcomes (e.g. return to sport ability), and lower ACL re-tear rates., conditionsModule conditions: Anterior Cruciate Ligament Injuries, conditions: Anterior Cruciate Ligament Reconstruction, designModule studyType: INTERVENTIONAL, phases: NA, designInfo allocation: NON_RANDOMIZED, interventionModel: PARALLEL, interventionModelDescription: Single-Bundle ACL + ALL Reconstruction Group:* Patients in this group will undergo reconstruction of the anterior cruciate ligament (ACL) using a single-bundle graft technique.* In addition, they will have the anterolateral ligament (ALL) reconstructed using a portion of the same graft material.* For the ALL reconstruction, a commonly used technique is the Sonnery-Cottet ALL reconstruction using a split graft.Double-Bundle ACL + ALL Reconstruction Group:* Patients in this group will undergo anatomic double-bundle ACL reconstruction using two graft bundles to more anatomically replicate the native ACL's anteromedial and posterolateral bundles.* Like the single-bundle group, they will also have supplemental ALL reconstruction performed using a portion of the graft material.* The double-bundle ACL reconstruction aims to better restore the ACL's complex anatomic footprint and bundles' tension patterns., primaryPurpose: TREATMENT, maskingInfo masking: NONE, enrollmentInfo count: 40, type: ESTIMATED, armsInterventionsModule interventions name: Single-bundle ACL combined anterolateral ligament reconstruction, interventions name: Double-bundle ACL combined anterolateral ligament reconstruction, outcomesModule primaryOutcomes measure: Patient-reported outcome measures (PROMs), primaryOutcomes measure: Patient-reported outcome measures (PROMs), primaryOutcomes measure: Patient-reported outcome measures (PROMs), primaryOutcomes measure: Knee ligament stability:, primaryOutcomes measure: Knee ligament stability clinical evaluation, primaryOutcomes measure: Knee ligament stability clinical evaluation, primaryOutcomes measure: Knee ligament stability clinical evaluation, primaryOutcomes measure: Functional performance and return to sport, primaryOutcomes measure: Functional performance and return to sport, primaryOutcomes measure: Imaging, primaryOutcomes measure: Imaging, eligibilityModule sex: ALL, minimumAge: 18 Years, stdAges: ADULT, stdAges: OLDER_ADULT, contactsLocationsModule locations facility: Chang Gung memorial hospital, city: Taoyuan, zip: 333, country: Taiwan, contacts name: Cheng-Pang Yang, Dr, role: CONTACT, email: ronnie80097@gmail.com, geoPoint lat: 24.95233, lon: 121.20193, hasResults: False