Research Mentor Name
Vasilios Moutzouros MD
Research Mentor Email Address
vmoutzo1@hfhs.org
Institution / Department
Henry Ford Health
Document Type
Research Abstract
Research Type
clinicalresearch
Level of Research
no
Abstract
Background
The anterior cruciate ligament (ACL) is often debrided during reconstruction (ACLR) to improve visualization. However, remnant ACL tissue contains nerve fibers and including remnant tissue in ACLR could provide benefit. Therefore, a technique was developed that preserves the tibial remnant and incorporates it into ACLR: Hybrid Remnant Preservation Reconstruction (HRPR) ACLR. This study compares HRPR-ACLR to traditional reconstruction by comparing patient reported outcomes and complications.
Methods
Patients presenting to one surgeon's clinic with an ACL injury are screened. Exclusion criteria are patient age<14 years, multi-ligament injury, chronic tears, and revision ACLR. Patients are consented and randomized to HRPR or traditional ACLR. Demographics, patient-reported outcomes, range of motion (ROM) and complications were collected.
Results
Thirty-three patients were included, 20 HRPR and 13 controls. No demographic differences were noted. PROMIS-PF, PROMIS-PI, IKDC and PASS scores were equivalent. HRPR reported higher PROMIS-D scores at 6 months (41.90 ± 8.52 vs 34.92 ± 3.33, p=0.009). HRPR demonstrated significantly increased ROM in the affected (137.81 ± 9.69 vs. 127.33 ± 14.82, p=0.05) and unaffected (144.06 ± 9.26 vs 135.25 ± 7.34, p=0.01) legs after 3 months. No ROM difference existed after 6 months in the affected leg (139.0 ± 8.46 vs 131.0 ± 13.42, p=0.07) although a difference existed in the unaffected leg (142.32 ± 8.27 vs 135.62 ± 7.69, p=0.03). Two control group patients suffered complications compared to zero HRPR (p=0.07).
Conclusion
HRPR-ACLR demonstrates similar patient-reported outcomes and significantly increased range of motion without increased complications compared to traditional ACLR after 6 months.
Disciplines
Medical Anatomy | Musculoskeletal, Neural, and Ocular Physiology | Musculoskeletal System | Orthopedics | Sports Medicine
Recommended Citation
Castle, Joshua P.; Halkias, Eleftherios L.; Pratt, Brittaney; Frei, Ashley; Gasparro, Matthew A.; and Moutzouros, Vasilios, "Anterior Cruciate Ligament Hybrid Remnant Preservation Reconstruction Demonstrates Similar Outcomes as Traditional Reconstruction after 6 Months: A Randomized Control Trial" (2024). Medical Student Research Symposium. 351.
https://digitalcommons.wayne.edu/som_srs/351
Included in
Medical Anatomy Commons, Musculoskeletal, Neural, and Ocular Physiology Commons, Musculoskeletal System Commons, Orthopedics Commons, Sports Medicine Commons