- ICH GCP
- US Clinical Trials Registry
- Klinisk utprøving NCT07573293
BPTB Versus Hamstring Autografts in ACL Reconstruction Among Professional Athletes (BPTB-HT ACL)
Bone-Patellar Tendon-Bone Versus Hamstring Tendon Autografts in ACL Reconstruction Among Professional Athletes: A Prospective Randomized Controlled Study With Mid-term Follow-up
This prospective randomized controlled study compares outcomes of ACL reconstruction using bone-patellar tendon-bone (BPTB) versus hamstring tendon (HT) autografts in professional athletes.
The primary outcome is isokinetic muscle strength assessment. Secondary outcomes include IKDC score, return to athletic activity, and complication rates. Patients are followed for five years.
Studieoversikt
Status
Forhold
Intervensjon / Behandling
Detaljert beskrivelse
This randomized controlled trial evaluates BPTB versus HT autografts in professional athletes undergoing ACL reconstruction. Patients with isolated ACL rupture were randomly assigned to either graft.
All procedures and rehabilitation protocols were standardized. The primary outcome was isokinetic assessment of quadriceps and hamstring strength using a dynamometer. Secondary outcomes included IKDC score, return to sport, and complications.
Patients were followed for five years to assess functional recovery and long-term outcomes.
Studietype
Registrering (Faktiske)
Fase
- Ikke aktuelt
Kontakter og plasseringer
Studiesteder
-
-
Cairo Governorate
-
Cairo, Cairo Governorate, Egypt
- Kasr Al-Ainy Hospital, Cairo University
-
-
Deltakelseskriterier
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
- Voksen
Tar imot friske frivillige
Beskrivelse
Inclusion Criteria:
- Professional athletes actively engaged in competitive sports
- Age between 18 and 35 years
- Primary isolated anterior cruciate ligament (ACL) rupture confirmed clinically and by MRI
- Indicated for arthroscopic ACL reconstruction
- Willingness to participate and provide informed consent
Exclusion Criteria:
- Multiligamentous knee injuries
- Previous ACL reconstruction on the affected knee
- Lower limb malalignment
- Advanced chondral lesions requiring additional surgical procedures
- Associated fractures around the knee
- Inability to comply with follow-up protocol
Studieplan
Hvordan er studiet utformet?
Designdetaljer
- Primært formål: Behandling
- Tildeling: Randomisert
- Intervensjonsmodell: Parallell tildeling
- Masking: Ingen (Open Label)
Våpen og intervensjoner
Deltakergruppe / Arm |
Intervensjon / Behandling |
|---|---|
|
Eksperimentell: BPTB Group
Participants undergoing ACL reconstruction using bone-patellar tendon-bone (BPTB) autograft.
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Arthroscopic anterior cruciate ligament reconstruction using bone-patellar tendon-bone autograft with interference screw fixation.
|
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Aktiv komparator: Hamstring Group
Participants undergoing ACL reconstruction using hamstring tendon autograft (semitendinosus and gracilis).
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Arthroscopic anterior cruciate ligament reconstruction using semitendinosus and gracilis tendon autograft with appropriate fixation technique.
|
Hva måler studien?
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
Isokinetic Quadriceps and Hamstring Muscle Strength
Tidsramme: 12 months postoperatively
|
Isokinetic dynamometric assessment of quadriceps and hamstring muscle strength expressed as peak torque percentage relative to the contralateral limb using a standardized testing protocol.
|
12 months postoperatively
|
Sekundære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
International Knee Documentation Committee (IKDC) Score
Tidsramme: 12 months postoperatively
|
Patient-reported functional outcome measured using the IKDC subjective knee evaluation form.
|
12 months postoperatively
|
|
Time to Return to Athletic Activity
Tidsramme: Up to 12 months postoperatively
|
Time required for patients to return to pre-injury level of athletic activity.
|
Up to 12 months postoperatively
|
|
Postoperative Complications
Tidsramme: Up to 60 months postoperatively
|
Incidence of complications including infection, anterior knee pain, extension lag, stiffness, and graft re-rupture.
|
Up to 60 months postoperatively
|
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Knee function using KOOS score
Tidsramme: 60 months postoperatively
|
Patient-reported outcomes assessed using the Knee Injury and Osteoarthritis Outcome Score (KOOS), including subscales:
Scores reported on a 0-100 scale (higher scores indicate better function). |
60 months postoperatively
|
Samarbeidspartnere og etterforskere
Sponsor
Samarbeidspartnere
Studierekorddatoer
Studer hoveddatoer
Studiestart (Faktiske)
Primær fullføring (Faktiske)
Studiet fullført (Faktiske)
Datoer for studieregistrering
Først innsendt
Først innsendt som oppfylte QC-kriteriene
Først lagt ut (Faktiske)
Oppdateringer av studieposter
Sist oppdatering lagt ut (Faktiske)
Siste oppdatering sendt inn som oppfylte QC-kriteriene
Sist bekreftet
Mer informasjon
Begreper knyttet til denne studien
Nøkkelord
Ytterligere relevante MeSH-vilkår
Andre studie-ID-numre
- N-360-2017
Plan for individuelle deltakerdata (IPD)
Planlegger du å dele individuelle deltakerdata (IPD)?
Legemiddel- og utstyrsinformasjon, studiedokumenter
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