This study aims to study differences in clinical and functional outcomes at 2 years based on hamstring graft size after single bundle anatomic ACL reconstruction using either 4-strand or 5-strand hamstring grafts. We also propose to study the characteristics of hamstring graft in our subset of patients in Asian population context.
This will be a prospective, randomized interventional study conducted at the National University Hospital under University Orthopaedics and Hand surgery Cluster during the period of December 2015 to December 2018. Study participants: The study will include 80 patients with complete Anterior Cruciate Ligament (ACL) tear undergoing primary arthroscopic reconstruction with ipsilateral hamstring autograft after written informed consent to participate in the study. The subjects will be divided into two groups A) 4-strand hamstring or B) 5-strand hamstring group by block randomization using an online randomization generator (http://www.graphpad.com/quickcalcs). All the subjects will undergo the procedure by otherwise identical technique performed by single surgeon. At 1 and 2 years functional and subjective outcomes will be assessed.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
80
The femoral and tibial ends will be tubularised and the final graft diameter will be recorded after passing through sizing cylinders graduated in 0.5mm increments. The femoral and tibial tunnels will be drilled as per standard technique for single bundle ACL reconstruction via trans-portal or trans-tibial route and both ends fixed by interference screw with additional post on the tibial end.
National University Health System
Singapore, Singapore
RECRUITINGKnee Injury and Osteoarthritis Outcome Score (KOOS) Sport/Rec Score (Function in Sport and Recreation) change from baseline
Patient reported outcome
Time frame: Baseline, 1 year and 2 years post op
Tegner-Lysholm Score change from baseline
Patient reported outcome
Time frame: Baseline, 1 year and 2 years post op
International Knee Documentation Committee (IKDC) Grade change from baseline
Patient reported outcome
Time frame: Baseline, 1 year and 2 years post op
KOOS Pain change from baseline
Patient reported outcome
Time frame: Baseline, 1 year and 2 years post op
KOOS Symptoms change from baseline
Patient reported outcome
Time frame: Baseline, 1 year and 2 years post op
KOOS Function in daily living (KOOS ADL) change from baseline
Patient reported outcome
Time frame: Baseline, 1 year and 2 years post op
KOOS Knee-related Quality of Life (KOOS QOL) change from baseline
Patient reported outcome
Time frame: Baseline, 1 year and 2 years post op
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