Comparing Single-Bundle vs Double-Bundle ACL Reconstruction Combined with Anterolateral Ligament Repair to Improve Knee Stability and Function

What this Trial Is About

Researchers are evaluating two surgical techniques for patients with anterior cruciate ligament ACL injuries to determine the best approach for reconstruction combined with anterolateral ligament ALL reconstruction. The study aims to identify optimal criteria for choosing between single-bundle ACL reconstruction plus ALL reconstruction and double-bundle ACL reconstruction plus ALL reconstruction. The trial also compares these methods regarding post-operative knee stability, functional outcomes, and rates of ACL re-tear. Participants will be randomly assigned to receive either the single-bundle ACL reconstruction combined with ALL reconstruction or the double-bundle ACL reconstruction combined with ALL reconstruction. Both procedures involve reconstructing the ACL and the ALL using graft materials, with the single-bundle technique using a single graft bundle and the double-bundle technique using two graft bundles to mimic the ACLs natural anatomy. The surgical methods and their effects on knee function and stability will be closely studied. Before surgery, participants will undergo MRI imaging, ligament stability testing, and motion analysis. Follow-up visits will include assessments of knee ligament stability and functional performance at 6 months and 1 year post-operation. Patient-reported outcome measures will be collected at multiple time points, including preoperative and up to 1 year after surgery. Researchers will use these data to evaluate recovery, return to sport, and long-term knee function.

Comparison Between Combined ALLR With Single Bundle and Double Bundle Anterior Cruciate Ligament Reconstruction