Knee surgery showdown: patella, hamstring, or quadriceps tendon?
NCT ID NCT03073083
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study compared three types of tendon grafts used in ACL reconstruction surgery: patella, hamstring, and quadriceps. Researchers wanted to see which one leads to fewer failures and better knee function two years after surgery. The trial included 439 active patients with a torn ACL, but it ended early, so the results are exploratory and not definitive.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- surgical procedure using either patella, hamstring, or quadriceps tendon graft
- What this could lead to
- If successful, this could help doctors choose the best graft for ACL surgery, improving knee stability and reducing failure rates.
- What could go wrong
- The trial ended early, so results are less reliable. Graft choice may not significantly affect outcomes, and individual healing varies.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
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
-
About 439 people
The number the study aims to enrol. It can still change while the study runs.
- Started
-
Mar 2017
- Expected to finish
-
Dec 2031
An estimate. End dates often move.
- Lead sponsor
-
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
-
18 years and older
- Sex
-
Anyone
- Healthy volunteers
-
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: * Patients active in sports, Tegner =/\>5 * Primary ACL rupture, evident from anamnesis (acute trauma, snapping sensation, swelling within several hours, feeling of instability), physical examination (positive Lachman test, anterior drawertest and/or pivot shift test), radiograph and MRl * Willing to comply to the suggested (nationwide standard) rehabilitation protocol, supen/ised by a NFVS registerd sport-physical therapist * \<6 months between initial trauma and surgery Exclusion Criteria: * History of knee surgery on the same side * History of tendon removal on the same side * Accompanying ligament injury ofthe knee, evident from anamnesis, physical examination, radiograph and MRl, defined as an ACL rupture in combination with a posterior cruciate ligament or collateral ligament injury, * Peroperative discovery of cartilage damage; larger than 2cm2 and more than 50% depth * Peroperative discovery of meniscus injury witch requires a meniscectomy of more than 20% or meniscus sutures * Osteoarthritis of Kellgren and Lawrence grade 2 or more, as evident from the radiograph * Severe malalignment of the leg * Tendency to form excessive scar tissue, such as arthrofibrosis * Muscular, neurological or vascular anomalies that influence healingtime or rehabilitation * Infection * Known hypersensitivity to any of the used materials * Long term relevant medication use such as prednisolone or cytostatics * Pregnancy at the time of inclusion or surgery * Known osteoporosis
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Anterior cruciate ligament injuries are added.
By submitting, you agree to our Terms of use
Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
-
Martini Hospital Groningen
Groningen, 9728 NT, Netherlands
-
OCON
Hengelo, Netherlands
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can online therapy boost ACL recovery and return to sport?
- Can a 3D-Printed gadget speed up knee recovery?
- Saving the ligament: a trial tests whether repairing a torn ACL beats replacing it
- Which tendon graft helps female athletes recover best after ACL surgery?
- Nerve block showdown: which technique eases ACL surgery pain best?
- Which ACL graft gets young athletes back in the game faster?