Second-Time ACL repair: new technique shows promise for knee stability
NCT ID NCT06868147
First seen Jul 02, 2026 · Last updated Jul 02, 2026
Summary
This study looks at how well a particular revision ACL surgery works over the long term. The technique uses a donor Achilles tendon and an extra stitch on the outside of the knee. Researchers will check knee function, stability, and arthritis development in 59 people who had this surgery at least two years ago.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Achilles tendon allograft
- What this could lead to
- If successful, this technique could offer a reliable option for people needing a second ACL repair, potentially reducing knee instability and delaying arthritis.
- What could go wrong
- This is a small, single-center study with no control group, so results may not apply to everyone. The surgery is complex and carries standard risks like infection or graft failure.
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.
- Participants
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About 59 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Mar 2025
- Expected to finish
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Jan 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.
Who is studied
Patients will be recruited from all subjects who underwent revision of anterior cruciate ligament reconstruction with the single-bundle "Over-The-Top" technique and external tenodesis using Achilles tendon allograft at the SC Orthopedic and Traumatology Clinic II of the Rizzoli Orthopedic Institute, at least 2 years after the surgical procedure and the clinical-radiological reassessment proposed in this study, between 1/1/2000 and 31/12/2022 at the Rizzoli Orthopedic Institute. This reassessment is part of standard clinical practice.
- 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.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Age between 18 and 50 years at the time of surgery; 2. Male and female gender; 3. Patients who have undergone revision of anterior cruciate ligament reconstruction with a single-bundle "Over-The-Top" technique and external tenodesis using Achilles tendon allograft, with or without associated procedures, at least 2 years post-surgery; 4. A radiograph taken immediately before or after the surgery of the affected knee; 5. Patients who have provided consent to participate in the study. Exclusion Criteria: 1. Patients no longer accessible; 2. Patients who deny consent to participate in the study; 3. Advanced knee osteoarthritis (Outerbridge grade III-IV) at the time of surgery; 4. Severe obesity (BMI \> 35); 5. Lower limb conditions that prevent the patient from maintaining an upright position with full weight-bearing during the assessment; 6. Infection or hematological or rheumatic conditions at the time of the assessment.
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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.
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
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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IRCCS Istituto Ortopedico Rizzoli
RECRUITINGBologna, 40136, Italy
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Could a Parent's hamstring tendon rebuild a Child's torn ACL?
- Bone scaffold may help ACL grafts heal stronger
- Home stretching device may boost ACL recovery
- Can electrical stimulation or vibration boost leg strength after ACL surgery?
- Scientists uncover muscle secrets behind ACL injuries in athletes