1. Comparison of the grafts using Magnetic Resonance Imaging (MR) to determine whether their maturation and bone integration are different, 2. Comparison of the grafts using Computerized Tomography (CT) to determine whether their effects on the tunnels opened in cruciate ligament reconstruction surgeries are different, 3. In the event that graft healing and effects on the tunnels differ between grafts, determination of whether these differences are related to patient clinics,
The project method; Patients who will be operated with 2 different grafts used in anterior cruciate ligament surgeries will be included in 2 different randomized groups of 29 people (hamstring and peroneus groups) determined by obtaining their informed consent before the surgery and then, 1. The maturation of the grafts will be measured and compared with the SNQ (Signal/Noise quotient) value and the graft-bone integration with the SI (Signal Intensity) value with the Magnetic Resonance (MR) to be taken at the 1st year controls after the surgery, 2. Changes in tunnel morphology; The volume of the tunnels will be measured with the Computerized Tomography (CT) imaging method to be taken prospectively within the first week after the surgery date and 1 year after the surgery date and the changes within 1 year will be calculated by comparing them. 3. In the outpatient clinic follow-ups of both groups; Knee laxity will be obtained with Lachman, Anterior drawer and Pivot shift tests and knee scores and activity levels will be obtained using IKDC, Lysholm, Marx scales and it will be examined whether these data are related to SNQ, SI and tunnel expansion.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
58
Surgical procedure using Peroneus Longus for ACL reconstruction.
Surgical procedure using Hamstring tendons for ACL reconstruction.
Karadeniz Technical University, Orthopedic and Traumatology Department
Trabzon, Turkey (Türkiye)
RECRUITINGGraft Maturation Assessed by Signal-to-Noise Quotient (SNQ) on MRI
Comparison of graft maturation between peroneus longus and hamstring tendon autografts using SNQ values obtained from 1-year postoperative MRI.
Time frame: 1 year postoperatively.
Graft-Bone Integration Assessed by Signal Intensity (SI) on MRI
Comparison of graft-bone integration between peroneus longus and hamstring tendon autografts using SI values obtained from 1-year postoperative MRI.
Time frame: 1 year postoperatively.
Change in Tunnel Volume Assessed by CT
Comparison of tunnel volume changes between peroneus longus and hamstring tendon autografts by measuring tunnel volume via CT imaging performed within the first week and 1 year after surgery.
Time frame: Within 1 week post-surgery and at 1 year post-surgery.
Knee Laxity Assessed by Clinical Tests
Comparison of knee laxity (Lachman, anterior drawer, and pivot shift tests) between groups and correlation with graft healing (SNQ, SI) and tunnel expansion.Clinical grading of laxity based on standard examination protocols.
Time frame: At 1-year follow-up.
Patient-Reported Knee Function and Activity Levels
Comparison of knee function and activity levels between groups using IKDC, Lysholm, and Marx scales and evaluation of correlations with SNQ, SI, and tunnel volume changes.Standardized scoring from IKDC, Lysholm, and Marx scales.
Time frame: At 1-year follow-up.
Relationship Between Tunnel Changes and Clinical Outcomes
Assessment of whether tunnel volume changes correlate with knee function, activity levels, or laxity test results.Statistical correlation analysis between tunnel volume changes and clinical outcomes.
Time frame: At 1-year follow-up.
Comparison of Graft Healing and Tunnel Changes Between Groups
Evaluation of whether differences in SNQ, SI, or tunnel volume changes are specific to patient demographics or clinical characteristics.
Time frame: 1 year postoperatively.
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