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Anterior Cruciate Ligament (ACL) Degeneratio Mucosa is a condition resulting from mucoid degeneration of ACL. Exact etiology is unknown, however ACL Degeneratio Mucosa impairs everyday functioning. In the literature there were some reports of treatment by ACL excision and subsequent reconstruction, however such treatment brings risk of deteriorated function. In this study the investigator will evaluate the technique of ACL "decompression" by the means of longitudinal incisions and evacuation of extrafibrous mucoid tissue.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patients with ACL Degeneratio Mucosa | Patients with ACL Degeneratio Mucosa |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ACL "decompression" | Procedure | The technique of ACL "decompression" by the means of longitudinal incisions and evacuation of extrafibrous mucoid tissue. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Range of motion | Range of motion assessed by the means of goniometer | At the 12 month of the follow-up |
| Range of motion | Range of motion assessed by the means of goniometer | At the 24 month of the follow-up |
| Knee anterior translatory stability | Knee stability assessed by the means of Rollimeter-aided Lachman test - results will be presented in milimeters. | At the 12 month of the follow-up |
| Knee anterior translatory stability | Knee stability assessed by the means of Rollimeter-aided Lachman test - results will be presented in milimeters. | At the 24 month of the follow-up |
| Knee anterolateral rotational stability | Knee stability assessed by the means of pivot-shift test - results will be presented in grades | At the 24 month of the follow-up |
| Measure | Description | Time Frame |
|---|---|---|
| The functional assessment with the The International Knee Documentation Committee Questionnaire (IKDC) | Min of 0 max of 87 points, higher scores mean a better outcome | At the 12 month of the follow-up |
| The functional assessment with the The International Knee Documentation Committee Questionnaire (IKDC) |
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Inclusion Criteria:
Exclusion Criteria:
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Patients with ACL degeneratio mucosa decided to undergo a surgical treatment
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Konrad Malinowski, MD PhD | Contact | +48 509812212 | malwin8@wp.pl |
| Name | Affiliation | Role |
|---|---|---|
| Konrad Malinowski, MD PhD | Artromedical Orthopaedic Clinic, Bełchatów, Poland | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Artromedical Orthopaedic Clinic | Recruiting | Bełchatów | Łódź Voivodeship | 97-400 | Poland |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 33775919 | Background | Gersing AS, Schwaiger BJ, Nevitt MC, Joseph GB, Feuerriegel G, Jungmann PM, Guimaraes JB, Facchetti L, McCulloch CE, Makowski MR, Link TM. Anterior cruciate ligament abnormalities are associated with accelerated progression of knee joint degeneration in knees with and without structural knee joint abnormalities: 96-month data from the Osteoarthritis Initiative. Osteoarthritis Cartilage. 2021 Jul;29(7):995-1005. doi: 10.1016/j.joca.2021.03.011. Epub 2021 Mar 26. | |
| 21331652 |
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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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Min of 0 max of 87 points, higher scores mean a better outcome |
| At the 24 month of the follow-up |
| The functional assessment with the Knee injury and Osteoarthritis Outcome Score (KOOS) | Min of 0 max of 100 points, higher scores mean a better outcome | At the 12 month of the follow-up |
| The functional assessment with the Knee injury and Osteoarthritis Outcome Score (KOOS) | Min of 0 max of 100 points, higher scores mean a better outcome | At the 24 month of the follow-up |
| Background |
| Lintz F, Pujol N, Boisrenoult P, Bargoin K, Beaufils P, Dejour D. Anterior cruciate ligament mucoid degeneration: a review of the literature and management guidelines. Knee Surg Sports Traumatol Arthrosc. 2011 Aug;19(8):1326-33. doi: 10.1007/s00167-011-1433-0. Epub 2011 Feb 18. |
| 34419162 | Background | Sweed T, Mussa M, El-Bakoury A, Geutjens G, Metcalfe A. Management of mucoid degeneration of the anterior cruciate ligament: a systematic review. Knee Surg Relat Res. 2021 Aug 21;33(1):26. doi: 10.1186/s43019-021-00110-6. |
| 33467062 | Background | Lee JW, Ahn JT, Gwak HG, Lee SH. Clinical Outcomes of Arthroscopic Notchplasty and Partial Resection for Mucoid Degeneration of the Anterior Cruciate Ligament. J Clin Med. 2021 Jan 16;10(2):315. doi: 10.3390/jcm10020315. |