Anatomic Single-Bundle Anterior Cruciate Ligament Reconstruction Using a Periosteal Patellar Tendon Bone Autograft and Press-Fit Tibial Fixation

What this Trial Is About

Researchers are evaluating the clinical and radiological results of a new surgical method for repairing anterior cruciate ligament ACL ruptures. This method uses a periosteal-patellar tendon-bone autograft with a press-fit tibial fixation technique, which avoids screws or staples. The study compares this novel approach to other techniques, aiming to provide less postoperative swelling, less pain, faster mobilization, and quicker rehabilitation despite risks similar to existing methods. The treatment involves a specific surgical procedure where a graft is carefully prepared and inserted using a press-fit technique at the tibial site, with an adjustable fixation device securing the femoral end. This minimally invasive approach creates only a small bone defect that remodels over time. Patients receive the anatomical single-bundle ACL reconstruction with this periosteal-patellar tendon-bone autograft and press-fit tibial fixation. Participants will be followed for at least one year after surgery, during which various clinical and radiological assessments will be performed. Outcome measures include the Knee injury and Osteoarthritis Outcome Score KOOS, the International Knee Documentation Committee Score IKDC, the Tegner-Lysholm Scale, and graft survival at one year post-operation. Additionally, researchers will monitor tunnel widening as a secondary outcome to assess the surgical techniques effects.

Anterior Cruciate Ligament Reconstruction With a Periosteal - Patellar Tendon - Bone Autograft - The Kocabey Press-Fit Technique