Graft Type and Outcomes After ACL Reconstruction in Female Athletes

Trial statusNot yet recruiting
Trial phaseNot listed
Trial typeObservational
Biological sexFemale
Age16-35
SponsorUniversidad Católica San Antonio de Murcia

About this trial

This prospective multicenter cohort study aims to compare clinical and functional outcomes between hamstring tendon and quadriceps tendon autografts in anterior cruciate ligament (ACL) reconstruction in female athletes. Participants will be followed for two years after surgery to evaluate graft failure rates, return to sport, knee stability, and patient-reported outcomes.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Female patients aged 16 to 35 years with skeletal maturity

Active athlete: minimum two training sessions per week during the six months prior to injury in pivoting sports

Confirmed complete ACL rupture by MRI and clinical examination

Primary ACL reconstruction (first ligament surgery on the index knee)

Disqualifiers

Previous ligament surgery on either knee

Multiligament injury: simultaneous PCL, grade III MCL or LCL injury

Neuromuscular, rheumatological or systemic pathology interfering with rehabilitation or functional assessments

Pre-existing radiological osteoarthritis grade Kellgren-Lawrence ≥2 in the index knee

Trial population

Female athletes aged 16 to 35 years undergoing primary ACL reconstruction with either hamstring tendon or quadriceps tendon autograft across multiple sports medicine centers in Spain.

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

  • Hamstring tendon autograft ACL reconstruction

    Procedure/Surgery

    ACL reconstruction using ipsilateral hamstring tendon autograft (semitendinosus and gracilis tendons) with arthroscopic technique

  • Quadriceps tendon autograft ACL reconstruction

    Procedure/Surgery

    ACL reconstruction using ipsilateral quadriceps tendon autograft with arthroscopic technique

Treatment groups

82 Participants
are divided into 2 treatment groups
Group A: Hamstring tendon autograft1 intervention
Group B: Quadriceps tendon autograft1 intervention

Trial outcomes

Primary outcomes

1

Graft failure rate

Proportion of patients requiring revision ACL reconstruction or presenting with objetive graft rupture confirmed by MRI or arthroscopy

Time frame
24 months after surgery

Secondary outcomes

1

return to sport rate

proportion of athletes who returned to their pre-injury sport level, assessed by athlete and surgeon

Time frame
12 and 24 months after surgery
2

IKDC Subjective knee Evaluation Form

Patient-reported outcomes measure assessing knee symptoms, function and sports activity.

Time frame
6, 12 and 24 months after surgery
3

KOOS (Knee Injury and Osteoarthritis outcome Score)

Patient-reported outcome measure assessing pain, symptoms, function in daily living, function in sport and recreation, and knee-related quality of life

Time frame
6, 12 and 24 months after surgery
4

Lysholm Knee Scoring Scale

Clinician-reported outcome measure assessing knee function including pain, instability, locking, swelling, stair climbing, squatting and limp

Time frame
6, 12 and 24 months after surgery

Other outcomes

Sponsors and contacts

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