Long-term Clinical and Radiographic Results of Revision Anterior Cruciate Ligament Reconstruction Using Over The Top Single-bundle Technique and Lateral Extra-articular Tenodesis With Achilles Tendon Allograft

What this Trial Is About

Researchers are studying the long-term outcomes of revision anterior cruciate ligament (ACL) reconstruction using a specific surgical method called the single-bundle "Over-The-Top" technique combined with lateral extra-articular tenodesis, using an Achilles tendon allograft. This study focuses on patients who have undergone this type of surgery at least two years ago and aims to better understand the risks and benefits, especially concerning osteoarthritis development after revision ACL surgery. The surgical method being evaluated uses an Achilles tendon allograft, which is a graft taken from a donor rather than the patient's own tissue. This approach helps preserve the patient's ligamentous tissue and is thought to have favorable biomechanical properties. The study involves patients who have had this specific revision surgery, with or without additional procedures, and includes radiographic evaluation of the affected knee taken immediately before or after surgery. Participants will be assessed at least 24 months after their surgery through various clinical and radiographic tests. These include the Lysholm Knee Score, physical examinations, knee stability tests such as the anterior drawer, Lachman, and pivot shift tests, and imaging assessments like weight-bearing X-rays graded by the Kellgren-Lawrence scale. Other patient-reported and functional scores will also be collected to evaluate knee performance and pain. The study is observational and aims to follow participants long-term to monitor surgical outcomes and potential development of osteoarthritis.

Long-term Clinical and Radiographic Results of Revision Anterior Cruciate Ligament Reconstruction Using a Single-bundle Technique and External Tenodesis With Achilles Tendon Allograft.