M-ARS ACL Post-marketing Surveillance Study

Study Overview
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Brief Summary
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The goal of this study is to evaluate the performance of Medacta Anatomic Ribbon Surgery (M-ARS) in patients requiring anterior cruciate ligament (ACL) reconstruction. The main goal is to evaluate the survival rate of M-ARS ACL at 6 months post-operatively. The secondary goals are to assess the survival rate, clinical and functional outcomes, the quality of life, and the rate of complications at 1 month, 1 year and 2 years post-operatively.

Detailed Description
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This s a prospective, multicenter, non-controlled, observational study to evaluate the outcomes of Medacta Anatomic Ribbon Surgery (M-ARS) in the reconstruction of the anterior cruciate ligament (ACL). Participants will be informed about the study, both orally and in writing, during a preoperative visit. The investigator will answer any questions that may arise and will collect the informed consent. During the study, enrolled participants will be able to withdraw at any time and for any reason. The study is conducted according to the following schedule: V1 : Inclusion during a preoperative visit V2: Surgery V3: Follow-up visit at 1 month ± 15 days post-surgery V4: Follow-up visit at 6 months ± 30 days post-surgery V5: Follow-up visit at 12 months ± 60 days post-surgery V6: Follow-up visit at 24 months ± 90 days post-surgery The following data will be collected: Survival rate of implants evaluating the incidence of implants failure, where implant failure is defined as revision, loosening, or any definite change in the position of components (V3-V6). Clinical and functional outcomes, measured with the International Knee Documentation Committee (IKDC) score (V1, V3-V6) Quality of Life, measured with the EQ-5D score (V1, V3-V6) Occurrence of intraoperative and postoperative complications (V2-V6) Depending on standard practice, imaging assessment of implants and bone tunnels may be performed. A web-based data collection tool will be used as Electronic Data Capture (EDC). All the information required by the protocol will be collected in electronic case report forms (eCRF). The statistical analysis will be performed according to a pre-established statistical analysis plan. Missing values will not be replaced by estimated values but will be considered as missing in the statistical analysis.

Official Title
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Clinical and Radiological Outcomes of M-ARS ACL

Conditions
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Anterior Cruciate Ligament (ACL) Reconstruction

Intervention / Treatment
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* Device: Medacta Anatomic Ribbon Surgery (M-ARS ACL)


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients older than 18 years Patients with ACL rupture requiring ACL reconstruction Exclusion Criteria: Patients with malignant diseases (at the time of surgery) Patients with proven or suspected infections (at the time of surgery) Patients with functional deficits of the affected extremity (at the time of surgery) Patients with known incompatibility or allergy to products materials (at the time of surgery)

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Intervention/Treatment |
| --- |
|Device: Medacta Anatomic Ribbon Surgery (M-ARS ACL)|M-ARS ACL allows to reconstruct the anterior cruciate ligament using the Anatomic Ribbon Technique|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Survival rate | Kaplan Meier method | 6 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Survival rate | Kaplan Meier method | 1, 12, 24 months | 
| Functional outcome | International Knee Documentation Committee (IKDC) score | 1, 6, 12, 24 months | 
| Quality of Life outcome | EQ-5D score | 1, 6, 12, 24 months | 
| Radiological outcome (optional) | Evaluation of ligament osteointegration, femoral/tibial tunnel widening, presence of fluid in the femoral/tibial tunnel | 1, 6, 12, 24 months | 
| Complication rate | Occurrence of intraoperative and postoperative complications | intraoperative, 1, 6, 12, 24 months |