Columbia University
There is no consensus regarding the best surgical management of primary ACL tears. Recent evidence suggests that internal brace augmentation may increase load failure and therefore stabilize the graft in-situ at the time of ACL reconstruction. This prospective randomized controlled trial aims to compare the time to return to activity, and participant reported outcomes in participants with bone-tendon-bone ACL reconstruction with and without (control) internal brace augmentation.
Despite the wide variety of surgical approaches and grafts that can be used in an ACL reconstruction, graft failure and recurrent knee instability are nevertheless ubiquitous issues that have facilitated interest in ways to strengthen the graft at the time of surgery. While both animal and biomechanical models have strongly suggested improved graft strength and patient outcomes by utilizing suture tape augmentation in ACL reconstructions, there is scant clinical literature available to assess these extrapolations. A retrospective cohort study of 60 patients undergoing ACL reconstruction with a…
Inclusion Criteria: * patients 12 and older * patients seen by the Columbia University Sports Medicine Service * patients diagnosed with a first time ACL injury by clinical exam and MRI Exclusion Criteria: * previous knee surgery * concurrent knee fracture or ligamentous injury on ipsilateral knee * neuromuscular disorder involving lower limb * inability/ unwillingness to adhere to protocol * anesthesia contraindications * lost to follow up
The ACL will be reconstructed using a participant's own patella tendon (BTB autograft), and the graft will be fortified by suture tape during the surgery in order to strengthen it.
The ACL will be reconstructed using a participant's own patella tendon (BTB autograft). The graft will not be fortified by suture tape in this group. It will be used as is without any modification.
Participants will undergo a standardized rehabilitation protocol with twice weekly physical therapy
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