This study will assess the safety and early efficacy of a newly developed device, bridge-enhanced scaffold (MIACH™,) used to repair a torn anterior cruciate ligament (ACL.) Ten participants will undergo surgery with the new device (Experimental Group) and 10 will undergo a standard ACL reconstruction surgery (Control Group.)
This is a first-in-human trial for evaluation of the safety (Primary Objective) and short-term efficacy (Secondary Objective) of the MIACH™ ACL scaffold and will be carried out in form of an observational study of 20 patients: 10 experimental and 10 control.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
DEVICE_FEASIBILITY
Masking
SINGLE
Enrollment
20
Surgical insertion of the MIACH scaffold to promote ACL healing/repair
Standard surgical reconstruction of the ACL with autograft hamstring tendon
Boston Children's Hospital
Boston, Massachusetts, United States
Safety and tolerability of the BEAR® Implant
To assess the safety (implant rejection, infection, joint effusion, muscle atrophy, knee laxity) and tolerability of the BEAR® implant
Time frame: Surgery to 3-months post-op
Inflammatory reaction
Tense effusion limiting motion, fever or increased knee pain for more than three weeks after surgery and synovial fluid culture is negative for organisms.
Time frame: Surgery to 3-months post-op
Muscle Atrophy
Patient cannot ambulate independently and continues to require crutches for ambulation for more than six weeks after surgery as a result of the muscle weakness. Patient report leg feels unstable ambulating without crutches at six weeks after surgery.
Time frame: At 6-weeks post-op
Excessive Pain
Patient needs to be readmitted to the hospital for parenteral (IV or IM) pain medications but no other adverse event (e.g. infection or inflammation) is found.
Time frame: Surgery to 3-months post-op
Implant failure
Lachman exam demonstrates 6mm or greater AP knee laxity when the knee is in 25 degrees of flexion in the operated knee than the unoperated knee on examination by the physician in the office. Both knees will be covered and the examining physician blinded to which knee was the surgical knee prior to the testing.
Time frame: At 3-months post-op
Anteroposterior (AP) knee laxity
KT-1000 testing of AP laxity in both knees reveals a side-to-side difference of \>=6mm when performed by the clinician. The knees will be covered and the examiner blinded as to which is the operated knee.
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Time frame: At 6- and 12-months post-op