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Outcomes and Complication Rates of Anterior Cruciate Ligament Reconstruction Using the "Over-the-top" Technique Combined With Lateral Extra-articular Tenodesis in Patients Over 50 Years Old, Compared With a Control Group of Patients Under 30

Recruitingn/aAges 18 Years - anyAllStefano Zaffagnini
NCT07041242 on ClinicalTrials.gov ↗
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In plain words

What the trial is, and whether it could suit you

The anterior cruciate ligament (ACL) is one of the main stabilizers of the knee, and its injury is among the most common soft tissue injuries of the knee. Surgical reconstruction of the ACL can be performed using various techniques and different types of tissue grafts, including both autografts and allografts. Although ACL reconstruction is a widely performed surgical procedure in young and physically active individuals-typically patients under 30 years of age-to promote return to sports and prevent early onset of osteoarthritic degeneration, the surgical approach has historically been less common in patients over the age of 50. This is largely due to the lower functional demands typically observed in older patients. However, with increasing life expectancy and a corresponding rise in functional demands among older individuals, the surgical approach to ACL reconstruction has been progr

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📋 Eligibility rules (as published)
Inclusion Criteria: * Patients operated on between 2007 and 2023 who were over 50 years old at the time of surgery (study group) and patients under 30 years old at the time of surgery (control group). * Patients who underwent ACL reconstruction using the gracilis and semitendinosus tendons with the over-the-top + LET technique. * Patients of both male and female sex. * Patients who have provided consent to participate in the study. Exclusion Criteria: * Previous surgery on the same limb (meniscectomy, prior ACL reconstruction, surgically treated fractures, osteotomies, meniscal transplants). * Concomitant surgery on the same limb (osteotomies, meniscal transplants). * Surgical technique different from the over-the-top with LET using autologous gracilis and semitendinosus tendons. * Other concomitant ligament injuries requiring surgical treatment. * Patients younger than 18 years at the time of surgery (minors) or patients aged between 30 and 50 years at the time of surgery. * Patients who have not provided informed consent. * Patients with a follow-up period shorter than 2 years.
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What it tests

  • ligament reconstruction using the single-bundle "over-the-top" technique
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Where

1 site
IRCCS Istituto Ortopedico Rizzoli
Bologna, Italy
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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