- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04742868
Recovery of Soccer Players After Anterior Cruciate Ligament Reconstruction.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
In the previous studies patellar tendon and hamstring tendon were the most investigated graft types. While quadriceps tendon has been investigated a fewer times. And to our knowledge there is no control study that compare quadriceps tendon-patellar bone autograft with Quadriceps Autograft and Hamstring Autograft as control randomized study.
All of the patients will be examined before of the surgery and 3, 6, 12, 24 months after the surgery to compare the outcome of differnt graft types. While a secand aim of this study is to examen the effect of rehabilitation protocol on the short and long term within all of the clinical and the functional outcomes.
The rehabilitation protocol will contain one phase before the surgery and four phases after the surgery.The goal of the first phase will be pain and inflammation control, increase ROM and muscle strength will be during the second and the third phases.In the last phase all of the players have to achieve maximum muscle strength and neuromuscular control.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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Granada, Spain, 18014
- Carolina Fernández Lao
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Granada, Spain, 18014
- Carolina Fernández-Lao
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-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Patients with ACL injury susceptible to receive a surgical reconstruction.
- Autograft with Hamstring tendon ,quadriceps tendon or quadriceps tendon with patellar bone.
- Soccer player for more than 3 years.
- Between 16 and 40 years old.
Exclusion Criteria:
- Patient with previous joint injury.
- Patient with previous surgery on the affected knee.
- patient with previous musculoskeletal injury (4 weeks)
- Patient with untreated chronic injury.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Arm 1 QUADRICEPS TENDON WITH BONE GRAFT
Quadriceps tendon with bone will be used as graft for the surgery.
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Quadriceps tendon with pattlar bone will used for grating
All patients will receive six months rehabilitation program which aim to recover the strength and function
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Experimental: Arm 2 HAMSTRING TENDON GRAFT
Hamstring tendon with bone will be used as graft for the surgery
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All patients will receive six months rehabilitation program which aim to recover the strength and function
Hamstring tendon with will used for grating
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Experimental: Arm 3. QUADRICEPS TENDON WITHOUT BONE GRAFT
Quadriceps tendon without bone will be used as graft for the surgery.
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All patients will receive six months rehabilitation program which aim to recover the strength and function
Quadriceps tendon without pattlar bone will used for grating
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
change of Isokinetic strenght test
Time Frame: Patients will be examined before , after 3 , 6 12 and 24 month of the surgery
|
the assessment will be made with GENU 3 dynamometer (GENU 3, Easytech, Firenze, Italy), using isokinetic parameters at angular velocities of 60°/sec (3 repetitions), 180°/sec (5 repetitions) and 300°/sec (15 repetitions) with 30 seconds of rest among these.
To determine the height of the chair, the lateral femoral condyle was aligned with the rotational axis of the dynamometer.
The peak torque, average torque and flexor-extensor torque rate value.
Patients will be warm up in a cycle ergometer previously (5 min) and them performing mobilization exercises and stretching in lower limbs (5 min).
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Patients will be examined before , after 3 , 6 12 and 24 month of the surgery
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Visual Analogical Scale
Time Frame: Patients will be examined before , after 3 , 6 12 and 24 month of the surgery
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the participants will be completed a visual analogue scale (0-10 points) to assess the presence of knee pain.
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Patients will be examined before , after 3 , 6 12 and 24 month of the surgery
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Pressure Pain Thresholds
Time Frame: Patients will be examined before , after 3 , 6 12 and 24 month of the surgery
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We will use an electronic algometer (Somedic AB, Farsta, Sweden) over 6 points: epicondyle (1), at the midpoint between the greater trochanter and the lateral condyle of the femur on the external (2), at three centimeters above the patella in the vastus medialis (3), at the midpoint between the lower pole of the patella and the anterior tuberosity of the tibia (4), at 3 cm above the patella in midline of the thigh (5) and at the inclusion of the goose leg.
The mean of 3 trials will be used for the main analysis.
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Patients will be examined before , after 3 , 6 12 and 24 month of the surgery
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MUSCLE ARQUITECTURE
Time Frame: Patients will be examined before , after 3 , 6 12 and 24 month of the surgery
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an ultrasound device (MyLab™ 25, Esaote Medical Systems,Genova, Italy) and a 12 MHz linear probe will be used in this study.
The depth and width of quad tendon and articular cartilage of femoral trochlea will be captured.
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Patients will be examined before , after 3 , 6 12 and 24 month of the surgery
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ANTEROPOSTERIOR LAXITY
Time Frame: Patients will be examined before , after 3 , 6 12 and 24 month of the surgery
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it will be measured using the KT-2000 TM arthrometer (MEDmetric, Sn Diego, CA, USA)
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Patients will be examined before , after 3 , 6 12 and 24 month of the surgery
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Tegner questionnaire
Time Frame: Patients will be examined before , after 3 , 6 12 and 24 month of the surgery
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It is a subjective satisfaction index of on a scale of 0 to 100
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Patients will be examined before , after 3 , 6 12 and 24 month of the surgery
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Single-legged hop test
Time Frame: Patients will be examined before , after 3 , 6 12 and 24 month of the surgery
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The patient is placed standing on one leg and must jump as far as possible landing on the same leg.
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Patients will be examined before , after 3 , 6 12 and 24 month of the surgery
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Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Body Mass Index )
Time Frame: Patients will be examined before , after 3 , 6 12 and 24 month of the surgery
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in kg/m2, will be assessed by with bioelectrical impedance analysis (Inbody 720; Biospace, Seoul, South Korea
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Patients will be examined before , after 3 , 6 12 and 24 month of the surgery
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Fat mass
Time Frame: Patients will be examined before , after 3 , 6 12 and 24 month of the surgery
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%fat mass will be assessed by with bioelectrical impedance analysis (Inbody 720; Biospace, Seoul, South Korea)
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Patients will be examined before , after 3 , 6 12 and 24 month of the surgery
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Lean Mass
Time Frame: Patients will be examined before , after 3 , 6 12 and 24 month of the surgery
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kg of lean mass will be assessed by with bioelectrical impedance analysis (Inbody 720; Biospace, Seoul, South Korea)
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Patients will be examined before , after 3 , 6 12 and 24 month of the surgery
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Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Fernández-Lao, Universidad de Granada
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- UGranada111
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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