Comparison of 3 Techniques for Recreation of Anterior Cruciate Ligament Anatomic Footprint

Study Overview
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Brief Summary
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The purpose of this study is to compare the tomographic results of patients who underwent single-bundle anterior cruciate ligament reconstruction at the investigator's institution using the transtibial, accessory medial portal technique and the modified transtibial technique to determine which technique best recreates the anterior cruciate ligament anatomic footprint.

Official Title
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Three Dimensional Computed Tomography Comparison of the Transtibial, Modified Transtibial and Anteromedial Portal Technique for Recreation of the Anterior Cruciate Ligament Anatomic Footprint

Conditions
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Anterior Cruciate Ligament Reconstruction

Intervention / Treatment
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* Procedure: Anterior Cruciate Ligament Reconstruction


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients presenting for single bundle ACL reconstruction, with or without associated partial meniscectomy or meniscal repair. Skeletally mature patients Patients who are able and willing to receive post-operative CT imaging of the affected knee Exclusion Criteria: Previous ACL reconstruction in the studied knee Previous ACL injury or reconstruction in the contralateral kneeConcomitant non-ACL ligament reconstruction or osteotomy
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: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Hybrid Transtibial Technique<br>Reconstruction of the ACL using the hybrid transtibial technique | Procedure: Anterior Cruciate Ligament Reconstruction<br> <br> * Other names: ACL Reconstruction;|
| Active Comparator: Accessory Anteromedial Portal Technique<br>Reconstruction of the ACL using the accessory anteromedial portal technique | Procedure: Anterior Cruciate Ligament Reconstruction<br> <br> * Other names: ACL Reconstruction;|
| Active Comparator: Transtibial Technique<br>Reconstruction of the ACL using the transtibial technique. | Procedure: Anterior Cruciate Ligament Reconstruction<br> <br> * Other names: ACL Reconstruction;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 3D reconstructed CT imaging | Used to measure tunnel position. | 6 weeks Post-Operatively | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| International Knee Documentation Committee (IKDC) Subjective Knee Evaluation | Change in IKDC subjective knee evaluation since before surgery | 6 weeks post-operative | 
| Knee injury and Osteoarthritis Outcome Score (KOOS) | Change in KOOS since before surgery | 6 weeks post-operative | 
| International Knee Documentation Committee (IKDC) Subjective Knee Evaluation | Change in IKDC subjective knee evaluation since before surgery | 6 months post-operative | 
| Knee injury and Osteoarthritis Outcome Score (KOOS) | Change in KOOS since before surgery | 6 months post-operative | 
| International Knee Documentation Committee (IKDC) Subjective Knee Evaluation | Change in IKDC subjective knee evaluation since before surgery | 1 year post-operative | 
| Knee injury and Osteoarthritis Outcome Score (KOOS) | Change in KOOS since before surgery | 1 year post-operative | 
| International Knee Documentation Committee (IKDC) Subjective Knee Evaluation | Change in IKDC subjective knee evaluation since before surgery | 2 year post-operative | 
| Knee injury and Osteoarthritis Outcome Score (KOOS) | Change in KOOS since before surgery | 2 year post-operative | 
| Knee Laxity | Pivot shift test will be used to a measure of knee laxity | 6 month post-operatively |