Primary Anterior Cruciate Ligament Repair With and Without Lateral Extraarticular Tenodesis

Study Overview
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Brief Summary
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The investigators aimed to compare the clinical results of primary repairs and Lateral Extraarticular Tenodesis applied with primary repairs in the treatment of proximal ACL tears.

Detailed Description
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The investigators aimed to compare the clinical results of primary repairs and Lateral Extraarticular Tenodesis applied with primary repairs in the treatment of proximal ACL tears.The aim of this study was to determine the potential for improvement with the primary repair of acute ACL tears with the proximal tear, which may be an important advance for improvements in proprioception and preservation of natural kinematics.

Official Title
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Comparison of Primary Anterior Cruciate Ligament Repair With and Without Lateral Extraarticular Tenodesis for Proximal ACL Tears: A Prospective Study

Conditions
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Anterior Cruciate Ligament Tear

Intervention / Treatment
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* Procedure: Primary anterior cruciate ligament repair
* Procedure: Primary anterior cruciate ligament repair and lateral extraarticular tenodesis (LET) with iliotibial band


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: patients who underwent surgery within the first 3 weeks after injury between the ages of 21-40 years, attended regular follow-up visits, Sherman type 1 proximal ACL tear with relatively preserved synovial sheath Sufficient tissue length for re-stretching. Exclusion Criteria: torn ACL in the mid and distal region, torn synovial sheath, inability to undergo intrasubstance suturing, poor tissue quality with retraction, multiple ligament injuries and accompanying intra-knee pathologies (meniscal damage, chondral damage), previous knee surgery, rheumatologic diseases

Ages Eligible for Study
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Minimum Age: 21 Years
Maximum Age: 40 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: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Primary anterior cruciate ligament repair<br>Investigators performed arthroscopic primary repair in 18 patients with proximal ACL tears. | Procedure: Primary anterior cruciate ligament repair<br>* Only arthroscopic primary anterior cruciate ligament repair was performed in patients with proximal anterior cruciate ligament tear.<br>Procedure: Primary anterior cruciate ligament repair and lateral extraarticular tenodesis (LET) with iliotibial band<br>* In addition to primary anterior cruciate ligament repair, lateral extraarticular tenodesis was performed using the iliotibial band.<br>|
| Active Comparator: Primary anterior cruciate ligament repair and lateral extraarticular tenodesis (LET)<br>Investigators performed arthroscopic primary repair and lateral extraarticular tenodesis (LET) with iliotibial band in 20 patients with proximal ACL tears. | Procedure: Primary anterior cruciate ligament repair<br>* Only arthroscopic primary anterior cruciate ligament repair was performed in patients with proximal anterior cruciate ligament tear.<br>Procedure: Primary anterior cruciate ligament repair and lateral extraarticular tenodesis (LET) with iliotibial band<br>* In addition to primary anterior cruciate ligament repair, lateral extraarticular tenodesis was performed using the iliotibial band.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Comparison of functional outcomes between two groups of patients who underwent ACL repair surgery with or without lateral extraarticular tenodesis (LET) with International Knee Documentation Committee (IKDC). | The outcomes were evaluated using various measures, including the International Knee Documentation Committee (IKDC). The IKDC is a patient-completed tool, which contains sections on knee symptoms (7 items), function (2 items), and sports activities (2 items). Scores range from 0 points (lowest level of function or highest level of symptoms) to 100 points (highest level of function and lowest level of symptoms) | 24 months | 
| Comparison of functional outcomes between two groups of patients who underwent ACL repair surgery with or without lateral extraarticular tenodesis (LET) with Tegner-Lysholm scoring system. | The outcomes were evaluated using various measures, including theTegner-Lysholm scoring system. The Tegner Lysholm scale consists of eight items with each question response being assigned an arbitrary score on an increasing scale. The total score is the sum of each response to the eight questions and may range from 0-100 where higher scores indicate a better outcome with fewer symptoms or disability. | 24 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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proximal anterior cruciate ligament tear, primary repair, Lateral Extraarticular Tenodesis