ACL surgery showdown: does leaving muscle on the graft help it heal better?
NCT ID NCT07404046
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looks at whether keeping some muscle fibers on the tendon used to repair a torn ACL helps the graft heal and remodel inside the knee. About 40 patients will be randomly assigned to get either a standard tendon graft or a muscle-tendon graft. Researchers will use MRI scans at 6 weeks, 6 months, and 12 months after surgery to compare how well the graft integrates with the bone and matures.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 40 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Feb 2026
An estimate. Start dates often move.
- Expected to finish
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Sep 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 50 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Clinically and radiologically confirmed anterior cruciate ligament (ACL) rupture. * Age between 18 and 50 years. * Intact posterior cruciate ligament and collateral ligaments. * Signed informed consent to participate in the study. * Patients meeting at least one indication for concomitant lateral tenodesis, including: age under 25 years, positive pivot-shift test, presence of Segond fracture, participation in sports with frequent changes of direction and rotational knee loads, or joint hypermobility (Beighton score ≥ 7). Exclusion Criteria: * Previous ACL reconstruction of the same knee. * Inability to use a graft prepared by quadruple folding of the semitendinosus tendon. * Graft diameter \< 7.5 mm. * MRI-confirmed unsuccessful meniscal healing after repair. * Acute joint infection or history of joint infection.
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As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
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Contacts and locations
Locations
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University hospital Dubrava
RECRUITINGZagreb, 10000, Croatia
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