Knee surgery tension: a hidden key to arthritis prevention?
NCT ID NCT00434837
First seen Aug 25, 2026 · Last updated Aug 26, 2026 · Updated 1 time
Summary
This study looks at whether the amount of tension applied to a new ACL graft during knee surgery influences the development of arthritis over at least 15 years. About 168 people with a torn ACL in one knee will be followed, comparing two common tension settings. The goal is to see if one method better preserves joint space and reduces arthritis signs.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Initial graft tension during ACL reconstruction surgery
- What this could lead to
- If one tension method proves better, it could guide surgeons to reduce the long-term risk of knee arthritis after ACL reconstruction.
- What could go wrong
- This is a long-term observational comparison of two common techniques, so results may take years and could show no clear difference. Individual outcomes vary.
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
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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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168 people
The number who actually took part.
- Started
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Feb 2004
- Finished
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Feb 2024
- 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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15 to 50 years
- Sex
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Anyone
- Healthy volunteers
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Accepted
You do not need to have the condition being studied to take part.
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 for Groups 1 and 2: * ACL injury of only one knee (minor meniscal tears involving less than 1/3 of the meniscus are allowed) * Candidate for ACL reconstruction surgery using a bone-patellar tendon-bone graft or a four-stranded hamstring tendon graft (looped semitendinosus and gracilis muscles) * Tegner activity score of 5 or greater, indicating participant is at least moderately active Exclusion Criteria for Groups 1 and 2: * ACL tear that has occurred more than 12 months prior to surgery * Moderate-sized fissures or lesions in knee articular cartilage * Meniscal tears requiring partial removal of meniscus (tears larger than 1/3 of the meniscus) Inclusion Criteria for the Control Group: * Tegner activity score of 5 or greater, indicating participant is at least moderately active Exclusion Criteria for All Participants: * Previous injury to either knee * Increased laxity of the medial collateral ligament (MCL), lateral collateral ligament (LCL), or posterior cruciate ligament (PCL), as compared to the uninjured knee * Radiographic evidence of degenerative arthritis * Pregnancy * Any disease that might place a participant at high risk for articular cartilage damage (e.g., rheumatoid arthritis, osteoporosis, metabolic diseases)
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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
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Miriam Hospital/Brown University
Providence, Rhode Island, 02906, United States
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Rhode Island Hospital/Brown University
Providence, Rhode Island, 02903, United States
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Other studies related to the condition(s) this trial covers.
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