Transtibial Versus Anteromedial Femoral Tunnel Technique in ACL Reconstruction

Panam Clinic96 enrolled

Overview

The anteromedial (AM) portal technique was introduced to position the femoral tunnel in anterior cruciate ligament (ACL) reconstruction to more closely replicate the original footprint compared to the transtibial (TT) approach.1-5 Few randomized trials have evaluated differences in these techniques with respect to clinical outcomes. The purpose of this study was to determine if there are any differences in clinical outcome between the AM and TT approaches.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Anterior Cruciate Ligament Reconstruction

Interventions

Femoral tunnel creationPROCEDURE

Arthroscopic surgery approach used to create tunnel in femur into which graft is positioned

Eligibility

Sex: ALLMin age: 14 YearsMax age: 50 Years

Medical Language ↔ Plain English

Inclusion Criteria: * sustained a complete ACL tear and had no other ligament injuries requiring surgical intervention Exclusion Criteria: * concomitant collateral ligament tears * significant chondromalacia (based on diagnostic imaging) * previous lower limb surgery * significant injury to either lower limb requiring surgery * history of arthritis * were unable to comply with rehabilitation protocols or study follow-ups * were pregnant females or had other medical conditions which precluded participation.

Outcomes

Primary Outcomes

Anterior cruciate ligament quality of life

Time frame: 24-months postoperative

Secondary Outcomes

KT-1000

Time frame: 24-months post-operative

Knee range of motion

Time frame: 24-months post-operative

Data from ClinicalTrials.gov

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