The aim of the study is to show a reduction of a re-rupture rate with an ACL (antero crusader ligament) + ALL (anterolateral ligament) combined technique compared to a classical Kenneth-Jones ACL (antero crusader ligament) reconstruction technique.
The aim is to evaluate the rate of re-rupture and to analyze knee function through scores analysis as International Knee Documentation Committee Subjective Knee (IKDC), Knee injury and osteoarthritis outcome score (KOOS), Lysholm-Tegner, and by objective measurements of laximetry and rotation. This study should include 2 groups of 296 patients with isolated ACL (antero crusader ligament) with clinical rotation : * operated by a conventional patellar tendon technique (first group) * operated by a technique combining a ALL (anterolateral ligament) and ACL plasty for the second group
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
592
standard ligamentoplasty by Kenneth Jones
standard ligamentoplasty and anterolateral plasty
Hôpital Privé Jean Mermoz - Centre Paul Santy
Lyon, France
Ligament re-rupture rate
Clinical instability, laximetry, IRM
Time frame: 3 years
International Knee Documentation Committee Subjective Knee (IKDC) clinical score
International Knee Documentation Committee Subjective Knee allows a subjective assessment including symptoms, activity and knee function; is scored by summing the scores for the individual items and then transforming the score to a scale that ranges from 0 to 100 (no limitation with activities of daily living or sports activities and the absence of symptoms)
Time frame: preoperatively, 1 year and 3 years
Tegner Lysholm score
Specific knee questionnaire : patient-reported instrument that consists of subscales for pain, instability, locking, swelling, limp, stair climbing, squatting, and the need for support. Scores range from 0 (worse disability) to 100 (less disability).
Time frame: Preoperatively, 1 year and 3 years
Rolimeter test
Antero-posterior laximetry
Time frame: pre-operatively, 6 months, 1 year and 3 years
KiRA test
Rotatory laximetry
Time frame: preoperatively, 6 months and 3 years
Knee radiography
Development of osteoarthritis signs
Time frame: preoperatively and 3 years
Knee injury and osteoarthritis outcome score (KOOS) clinical score
Knee injury and osteoarthritis outcome score is a specific knee questionnaire which evaluates : pain, symptoms, knee function in daily life, knee function in sport practice and quality of life. Scale : None (0) Mild Moderate Severe Extreme (4) Each subscale score is calculated independently. Calculate the mean score of the individual items of each subscale and divide by 4. Traditionally in orthopedics, 100 indicates no problems and 0 indicates extreme problems
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Time frame: preoperative, 1 year and 3 years