Anterior Cruciate Ligament Reconstruction Made With Hamstring Tendon And Quadriceps Tendon Autografts

Study Overview
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Brief Summary
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Anterior cruciate ligament reconstruction (ACLR) is one of the most common procedure all around the world, however optimal graft source for ACLR still remains controversial. Although Quadriceps tendon (QT) is the least used and least studied autograft, it could be an appropriate and good alternative for ACLR. If investigaters use the same surgical technique, and exert the same rehabilitation methods they may have better results than hamstring tendon (HT) autografts.

Detailed Description
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Investigators enrolled 36 patient and randomized them to different group (HT, QT). at the first evaluation examination findings noted, PROMs (patient reported outcome measurements) questioned, thigh circumference measured, flexor and extensor thigh muscle strength recorded with help of Humac CYBEX Norm (CSMI, 2004) device. After these examinations and preparations all patients operated by the same surgeon who is familiar with both technique. The same surgical technique and fixation method used for both groups. At 1st year follow-up all evaluations PROMs (İKDC,lysholm,VAS) and measurements repeated. Back to the sports rates and postoperative complications compared between HT-QT.

Official Title
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Prospective Comparison Of Arthroscopic Anterior Cruciate Ligament Reconstrictions Made With Hamstring Tendon And Quadriceps Tendon Autografts

Conditions
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Anterior Cruciate Ligament Injuries

Intervention / Treatment
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* Procedure: anterior cruciate ligament recontruction


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: diagnosed primary ACL rupture willing to involve study lesser than Outerbridge 2 cartilage lesions, non-buckethandle meniscus injuries Exclusion Criteria: more than one ligament injury greater than outerbridge 3 cartilage injury buckethandle meniscus injuries re-ruptures bilateral injuries previous knee surgery any disease affecting muscle strength -

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 50 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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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: quadriceps tendon autograft<br>Ramdomized half of the patient underwent quadriceps graft harvesting. Arthroscopic technique fixation methods rehabilitation style follow periods kept same as hamstring group except graft type. | Procedure: anterior cruciate ligament recontruction<br>* Firstly graft is harvested with help of arthroscopy femoral and tibial tunnels created then graft placed into tunnels<br>|
| Experimental: hamstring tendon autograft<br>Ramdomized half of the patient underwent hamstring graft harvesting. Arthroscopic technique fixation methods rehabilitation style follow periods kept same as hamstring group except graft type. | Procedure: anterior cruciate ligament recontruction<br>* Firstly graft is harvested with help of arthroscopy femoral and tibial tunnels created then graft placed into tunnels<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| KOOS | Simple patient reported questionnaire | Change from Baseline score at one year. | 
| lysholm | Simple patient reported questionnaire | Change from Baseline score at one year. | 
| VAS | Simple patient reported questionnaire | Change from baseline score at one year. | 
| IKDC | Simple patient reported questionnaire | Change from baseline score at one year. | 
| STRENGTH TEST | Simple patient reported questionnaire | Change from baseline score at one year. | 
| subjective instability test | instability measure with help of examinations | Change from baseline score at one year. | 
| thigh circumference | circumference measure | Change from baseline score at one year. | 
| one leg hop test | ask to participant hop on operated leg | Change from baseline score at one year. |