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Accurate ideal graft tunnel positioning is essential for the successful application of anatomic anterior cruciate ligament (ACL) reconstruction. The accurate insertion of the tibial tunnel (TT) and femoral tunnel (FT) remain a challenge.
A robotic assisted new strategy for drill TT and FT in ACL reconstruction will be performed and its efficacy and accuracy will be assess.
The investigators will prospectively include 30 patients with ACL rupture requiring surgical treatment. The reconstruction will be performed with hamstring tendon graft or patellar tendon graft. The femoral and tibial tunnels placement will be guided by the Rosa robot (Zimmer®).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| rosa robot assistance | Experimental | Patients with ACL rupture requiring surgical treatment will be included. The reconstruction will be performed with hamstring tendon graft or patellar tendon graft. The femoral and tibial tunnels placement will be guided by the Rosa robot (Zimmer®). |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| anatomic anterior cruciate ligament (ACL) reconstruction | Procedure | The reconstruction will be performed with hamstring tendon graft or patellar tendon graft. The femoral and tibial tunnels placement will be guided by the Rosa robot (Zimmer®). |
| Measure | Description | Time Frame |
|---|---|---|
| Accuracy of tunnel positioning | Accuracy of tunnel positioning will be evaluated by comparing the theoretical intraoperative position and the actual post-operative position by image fusion | Day 0; during the operation |
| Measure | Description | Time Frame |
|---|---|---|
| Range of motion of the knee | Range of motion of the knee will be measured with IKCD score (International Knee Documentation Committee) IKCD score : The questionnaire looks at 3 categories: symptoms, sports activity, and knee function. Scores are obtained by summing the individual items, then transforming the crude total to a scaled number that ranges from 0 to 100. This final number is interpreted as a measure of function with higher scores representing higher levels of function. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| François Deroussen, MD | Contact | (33)322087576 | deroussen.francois@chu-amiens.fr | |
| Michel Lefranc, MD | Contact | (33)22088955 | lefranc.michel@chu-amiens.fr |
| Name | Affiliation | Role |
|---|---|---|
| François Deroussen, MD | CHU Amiens | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHU Amiens | Recruiting | Amiens | 80054 | France |
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| ID | Term |
|---|---|
| D000070598 | Anterior Cruciate Ligament Injuries |
| ID | Term |
|---|---|
| D007718 | Knee Injuries |
| D007869 | Leg Injuries |
| D014947 | Wounds and Injuries |
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| ID | Term |
|---|---|
| D019651 | Plastic Surgery Procedures |
| ID | Term |
|---|---|
| D013514 | Surgical Procedures, Operative |
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| day 0, during operation |
| Range of motion of the knee | Range of motion of the knee will be measured with IKCD score (International Knee Documentation Committee) IKCD score : The questionnaire looks at 3 categories: symptoms, sports activity, and knee function. Scores are obtained by summing the individual items, then transforming the crude total to a scaled number that ranges from 0 to 100. This final number is interpreted as a measure of function with higher scores representing higher levels of function. | up to 2 years; during follow-up |
| Range of motion of the knee | Range of motion of the knee will be measured with Lysholm (Lysholm Knee Score) Lysholm Knee Score : measure the domain of functioning in sports and recreational activities. This scale consists of eight items. It is scored on a scale of 0 to 100, with higher scores indicating fewer symptoms and higher levels of functioning. | up to 2 years; during follow-up |
| Range of motion of the knee | Range of motion of the knee will be measured with Lysholm (Lysholm Knee Score) Lysholm Knee Score : measure the domain of functioning in sports and recreational activities. This scale consists of eight items. It is scored on a scale of 0 to 100, with higher scores indicating fewer symptoms and higher levels of functioning. | day 0, during operation |
| Range of motion of the knee | Range of motion of the knee will be measured with ACL-RSI (Psychological ACL-RSI Score). Psychological ACL-RSI Score : measure patient psychological impact. This test includes 12 questions. Higher score describes no knee pathology. | up to 2 years; during follow-up |
| Range of motion of the knee | Range of motion of the knee will be measured with ACL-RSI (Psychological ACL-RSI Score). Psychological ACL-RSI Score : measure patient psychological impact. This test includes 12 questions. Higher score describes no knee pathology. | day 0, during operation |
| Knee stability | Knee stability will be measured with manual test : "pivot shift" | day 0; during operation |
| Knee stability | Knee stability will be measured with manual test : radiography images. | day 0; during operation |
| Knee stability | Knee stability will be measured with manual test : "pivot shift" | up to 2 years; during follow-up |
| Knee stability | Knee stability will be measured with manual test : radiography images. | up to 2 years; during follow-up |