To investigate the differences between the two methods for reconstruction of the anterior cruciate ligament (ACL), to support the development of the best method for young federated male football players. After surgery with quadricipital tendon graft or semitendinosus tendon graft, a two-year follow-up and the rate of return to sport are proposed.
The anterior cruciate ligament is one of the most common traumatic injuries in football, and surgery is proposed to restore knee stability. However, following surgery, few studies have focused on functional recovery of the knee with a wide arsenal of physical tests. Therefore, this study aims to study the efficacy for young football players of two types of grafts based on the most common tendons, the quadricipital and the semitendinosus (without the semimembranosus). Follow-ups will be performed at three months, six months, one year and two years after reconstruction. The variables measured will be isokinetic strength of flexors and extensors, unipodal jump test, self-perceived function, pain and tendon architecture with ultrasound.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
54
In addition to surgical reconstruction, any structures that may have been injured concomitantly (meniscus, other ligament) will be repaired in the same surgery.
Faculty of Health Sciences
Granada, Granada, Spain
Lower limb strength
assessed by an isokinetic test with an isokinetic dynamometer (HUMAC NORM)
Time frame: Participants will be followed over 24 months
Horizontal hop test
assessed by horizontal jump with one leg and hands on the waist, measured with a centimetric tape (three jumping opportunities)
Time frame: Participants will be followed over 24 months
Self-reported functionality
assessed by Tegner Lysholm Knee Scoring Scale and Modified Cincinnati Rating System Questionnaire (Spanish version)
Time frame: Participants will be followed over 24 months
Knee pain
assessed by Visual Analogue Scale (VAS) for knee pain. The subjective perception of pain from 0 to 10 will be registered. Higher scores mean a worse outcome.
Time frame: Participants will be followed over 24 months
Pressure pain threshold
Using a digital algometer in epicondyle, vastus lateralis, vastus medialis and quadricipitalis tendon, patellar tendon, and insertion of the semitendinous tendon
Time frame: Participants will be followed over 24 months
Tendon ultrasound
it will monitor the morphology of the tendon and their surgical gap using ultrasound (Samsung HM70A echograph and Samsung Phased Array PE2-4 probe)
Time frame: Participants will be followed over 24 months
Perimeters
measured with the volume of both legs (injured and uninjured) using the mid-thigh circumference.
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Time frame: Participants will be followed over 24 months