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Anterior Cruciate Ligament ReconstructionNCT01279759

Follow up of Patients Operated With Anterior Cruciate Ligament Reconstruction

An observational study of Anterior Cruciate Ligament Reconstruction, run by Haraldsplass Deaconess Hospital at 1 site in Norway.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

Background: An estimated 4000 Anterior Cruciate Ligament Injuries (ACL) occur annually in Norway (Granan et al., 2004). 1630 primary ACL reconstructions were performed in Norway in 2008 (Norwegian Arthroplasty Register, 2009). Read more about this study

Who is it for?
Any age
How many people
35 participants
Where
1 siteNorway
Study dates
Oct 2010to Feb 2015
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages Any age
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Study population: Patients planned for reconstruction of the anterioir crucuate ligament with hamstrings graft.

Who may be able to join

  • Patients planned for reconstruction of the anterior cruciate ligament with hamstrings graft at Haraldsplass Deaconess hospital.

Who cannot join

  • Patients with multiligament tears, meniscus suture, other problems that can influence strength testing, functional testing and gait symmetry.

Trial locations and contacts

1 site in 1 country.

Willemijn Vervaat, MSc contact

004755978618

wive@haraldsplass.no

Norway1 site, 1 recruiting
  • Haraldsplass Deaconess hospital

    Bergen, 5096

    Solveig Ullaland, 0047-55978541

    Willemijn Vervaat, MSc

    Recruiting

Other trials in Norway

About this study

Official title: Pre- and Post Operative Predictive Factors for Function 6 Months After Anterior Cruciate Ligament Reconstruction

Background:

An estimated 4000 Anterior Cruciate Ligament Injuries (ACL) occur annually in Norway (Granan et al., 2004). 1630 primary ACL reconstructions were performed in Norway in 2008 (Norwegian Arthroplasty Register, 2009). Approximately 120 of these ACL reconstructions were performed at Haraldsplass Deaconess Hospital.

Read more

Physical therapists at our hospital are responsible for postoperative outpatient controls of patients with a reconstructed anterior cruciate ligament. A clinical observation is that stair walking (especially downstairs) may be problematic up to 6 months after ACL reconstruction. One reason may be that the quadriceps muscle is unable to control the knee when the subject is walking downstairs, and that the knee is perceived to be unstable. Other contributing factors may be pain and swelling.

It is of interest to know which pre and post operative factors can predict measured and patient reported function 6 months after ACL reconstruction. Previous research shows that predictive factors for clinical outcome after ACL reconstruction are anterior knee pain (Heijne et al., 2009), preoperative electromyography, early postoperative strength (McHugh et al., 2002), preoperative quadriceps muscle strength deficits, meniscus injury and pain (Eitzen et al., 2009), obesity, smoking and serious chondrosis (Kowalchuk et al., 2009).

Purpose:

  1. To analyse which pre and post operative factors can predict measured and patient reported function 6 months after Anterior Cruciate Ligament reconstruction.
  2. To investigate if there is an asymmetry in step time between the affected and unaffected leg during down stairs walking, and if degree of asymmetry decreases during a 6 months period post operatively. Further we want to compare step time asymmetry with other established outcome measures to investigate sensitivity to change over the observation period and also compare the patient group in this study with a control group of healthy subjects to see if asymmetry in the patient group after 6 months is still higher than in healthy subjects.
Read the detailed description

Methods:

The investigators wish to recruit 35 people scheduled for anterior cruciate ligament (ACL) reconstruction with hamstrings tendon graft.

Patients will be asked to write a training diary.

Data will be collected 1 day preoperatively, 2 days, 6 weeks, 3 months and 6 months post operatively.

Ethics:

All participants will have to give informed consent before inclusion. All information obtained through the surveys will be treated confidentially. Participation is completely voluntary.

References:

GRANAN, L., ENGEBRETSEN, L. \& BAHR, R. (2004) Kirurgi ved fremre korsbåndskader i Norge - sett fra et idrettsmedisinsk perspektiv. Tidsskr Nor Lægeforen, 124, 928-930.

NASJONALT REGISTER FOR LEDDPROTESER (2009) Nasjonalt korsbåndregister. Ortopedisk klinikk Haukeland Universitets Sykehus.

Keywords
Anterior Cruciate Ligament Reconstruction Predictive Factors, Function Downstairs walking Step time Symmetry

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Asymmetry in step time between the affected and unaffected leg during down stairs walking.

    A triaxial kinematic sensor (XSens Mtx) positioned at the level of the lower trunk will be used to identify foot strike and separate left and right steps.

    Measured: 6 months postoperatively

  2. Isokinetic muscle strength measured with a fixed dynamometer (isok BI con/con 60/60 240/240 BIODEX).

    Measured: 6 months postoperatively

  3. Single leg hop test for distance, a 6-m timed hop test, a triple hop test for distance, a crossover hop test for distance (Noyes et al, 1991).

    Measured: 6 months postoperatively

  4. Self reported function.

    International Knee Documentation Committee 2000 subjective knee evaluation form.

    Measured: 6 months post operatively

Secondary outcomes (27)
  1. Pain scores on a visual analog scale

    Measured: 1 day preoperatively

  2. Degree of swelling measured with The Modified Stroke Test (Logerseth at al, 2010).

    Measured: 1 day preoperatively

  3. The circumference around the center of the patella will be measured to assess for swelling around the knee joint.

    Measured: 1 day preoperatively

  4. Passive range of movement compared to the healthy knee, measured with a goniometer.

    Measured: 1 day preoperatively

  5. Isokinetic muscle strength measured with a fixed dynamometer (isok BI con/con 60/60 240/240 BIODEX)

    Measured: 1 day preoperatively

  6. Asymmetry in step time between the affected and unaffected leg during down stairs walking.

    A triaxial kinematic sensor (XSens Mtx) positioned at the level of the lower trunk will be used to identify foot strike and separate left and right steps.

    Measured: 1 day preoperatively

  7. Self reported function

    International Knee Documentation Committee 2000 subjective knee evaluation form

    Measured: 1 day preoperatively

  8. Muscle atrophy in the quadriceps muscle will be measured 12 and 17 cm above the medial knee joint line.

    Measured: 1 day preoperatively

  9. Passive range of movement compared to the healthy knee, measured with a goniometer.

    Measured: at discharge

  10. Pain scores on a visual analog scale.

    Measured: at discharge

  11. Difficulties with walking downstairs on a visual analog scale.

    Measured: 1 day preoperative

  12. Pain scores on a visual analog scale.

    Measured: 6 weeks post operatively

  13. Difficulties with walking down stairs on a visual analog scale.

    Measured: 6 weeks postoperatively

  14. Degree of swelling measured with The Modified Stroke Test (Logerseth at al, 2010).

    Measured: 6 weeks postoperatively

  15. The circumference around the center of the patella will be measured to assess for swelling around the knee joint.

    Measured: 6 weeks postoperatively

  16. Passive range of movement compared to the healthy knee will be measured with a goniometer.

    Measured: 6 weeks postoperatively

  17. Asymmetry in step time between the affected and unaffected leg during down stairs walking.

    A triaxial kinematic sensor (XSens Mtx) positioned at the level of the lower trunk will be used to identify foot strike and separate left and right steps.

    Measured: 6 weeks postoperatively

  18. Muscle atrophy in the quadriceps muscle will be measured 12 and 17 cm above the medial knee joint line.

    Measured: 6 weeks postoperatively

  19. Knee joint laxity measured with knee laxity testing device (KT 1000).

    Measured: 6 weeks postoperatively

  20. Asymmetry in step time between the affected and unaffected leg during down stairs walking.

    A triaxial kinematic sensor (XSens Mtx) positioned at the level of the lower trunk will be used to identify foot strike and separate left and right steps.

    Measured: 3 months postoperatively

  21. Pain scores on a visual analog scale.

    Measured: 3 months postoperatively

  22. Difficulties with walking down stairs on a visual analog scale.

    Measured: 3 months postoperatively

  23. Degree of swelling measured with The Modified Stroke Test (Logerseth at al, 2010).

    Measured: 3 months postoperatively

  24. The circumference around the center of the patella will be measured to assess for swelling around the knee joint.

    Measured: 3 months postoperatively

  25. Passive range of movement compared to the healthy knee, measured with a goniometer.

    Measured: 3 months postoperatively

  26. Muscle atrophy in the quadriceps muscle will be measured 12 and 17 cm above the medial knee joint line.

    Measured: 3 months postoperatively

  27. Knee joint laxity measured with a knee laxity testing device (KT 1000).

    Measured: 3 months postoperatively

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted19 Jan 2011 (estimated)
  2. Study startOct 2010
  3. Primary completionFeb 2015 (estimated)
  4. Study completionFeb 2015 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Time perspective
Prospective
Enrolment
35 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01279759
Sponsor's protocol ID
01339
Status last verified
Jan 2013
First submitted
8 Nov 2010
Last updated
18 Jan 2013
Results posted
No
Data monitoring committee
No

Publications

  • Adlerton AK, Moritz U, Moe-Nilssen R. Forceplate and accelerometer measures for evaluating the effect of muscle fatigue on postural control during one-legged stance. Physiother Res Int. 2003;8(4):187-99. doi: 10.1002/pri.289.

    PubMed 14730723
  • Arvidsson I, Arvidsson H, Eriksson E, Jansson E. Prevention of quadriceps wasting after immobilization: an evaluation of the effect of electrical stimulation. Orthopedics. 1986 Nov;9(11):1519-28. doi: 10.3928/0147-7447-19861101-08.

    PubMed 3491982
  • Bjordal JM, Arnly F, Hannestad B, Strand T. Epidemiology of anterior cruciate ligament injuries in soccer. Am J Sports Med. 1997 May-Jun;25(3):341-5. doi: 10.1177/036354659702500312.

    PubMed 9167814
  • Daniel DM, Stone ML, Dobson BE, Fithian DC, Rossman DJ, Kaufman KR. Fate of the ACL-injured patient. A prospective outcome study. Am J Sports Med. 1994 Sep-Oct;22(5):632-44. doi: 10.1177/036354659402200511.

    PubMed 7810787
  • de Jong SN, van Caspel DR, van Haeff MJ, Saris DB. Functional assessment and muscle strength before and after reconstruction of chronic anterior cruciate ligament lesions. Arthroscopy. 2007 Jan;23(1):21-8, 28.e1-3. doi: 10.1016/j.arthro.2006.08.024.

    PubMed 17210423
  • Drechsler WI, Cramp MC, Scott OM. Changes in muscle strength and EMG median frequency after anterior cruciate ligament reconstruction. Eur J Appl Physiol. 2006 Dec;98(6):613-23. doi: 10.1007/s00421-006-0311-9. Epub 2006 Oct 12.

    PubMed 17036217
  • Eitzen I, Holm I, Risberg MA. Preoperative quadriceps strength is a significant predictor of knee function two years after anterior cruciate ligament reconstruction. Br J Sports Med. 2009 May;43(5):371-6. doi: 10.1136/bjsm.2008.057059. Epub 2009 Feb 17.

    PubMed 19224907
  • Helbostad JL, Vereijken B, Hesseberg K, Sletvold O. Altered vision destabilizes gait in older persons. Gait Posture. 2009 Aug;30(2):233-8. doi: 10.1016/j.gaitpost.2009.05.004. Epub 2009 May 31.

    PubMed 19487126
  • Hodt-Billington C, Helbostad JL, Moe-Nilssen R. Should trunk movement or footfall parameters quantify gait asymmetry in chronic stroke patients? Gait Posture. 2008 May;27(4):552-8. doi: 10.1016/j.gaitpost.2007.07.015. Epub 2007 Sep 25.

    PubMed 17897830
  • Holder-Powell HM, Di Matteo G, Rutherford OM. Do knee injuries have long-term consequences for isometric and dynamic muscle strength? Eur J Appl Physiol. 2001 Aug;85(3-4):310-6. doi: 10.1007/s004210100474.

    PubMed 11560085
  • Johansson H, Sjolander P, Sojka P. Receptors in the knee joint ligaments and their role in the biomechanics of the joint. Crit Rev Biomed Eng. 1991;18(5):341-68.

    PubMed 2036801
  • Kowalchuk DA, Harner CD, Fu FH, Irrgang JJ. Prediction of patient-reported outcome after single-bundle anterior cruciate ligament reconstruction. Arthroscopy. 2009 May;25(5):457-63. doi: 10.1016/j.arthro.2009.02.014.

    PubMed 19409302
  • McHugh MP, Tyler TF, Browne MG, Gleim GW, Nicholas SJ. Electromyographic predictors of residual quadriceps muscle weakness after anterior cruciate ligament reconstruction. Am J Sports Med. 2002 May-Jun;30(3):334-9. doi: 10.1177/03635465020300030601.

    PubMed 12016072
  • Moe-Nilssen R. A new method for evaluating motor control in gait under real-life environmental conditions. Part 2: Gait analysis. Clin Biomech (Bristol). 1998 Jun;13(4-5):328-335. doi: 10.1016/s0268-0033(98)00090-4.

    PubMed 11415804
  • Moe-Nilssen R. A new method for evaluating motor control in gait under real-life environmental conditions. Part 1: The instrument. Clin Biomech (Bristol). 1998 Jun;13(4-5):320-327. doi: 10.1016/s0268-0033(98)00089-8.

    PubMed 11415803

Questions about this trial

What is this clinical trial studying?

An observational study of Anterior Cruciate Ligament Reconstruction, run by Haraldsplass Deaconess Hospital at 1 site in Norway.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 1 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 18 Jan 2013. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Norway. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Willemijn Vervaat, MSc (004755978618, wive@haraldsplass.no), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Asymmetry in step time between the affected and unaffected leg during down stairs walking. (time frame: 6 months postoperatively). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01279759, which also lists 24 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 18 Jan 2013.

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