Single versus double hamstring tendon graft in anterior cruciate ligament reconstruction in the paediatric patient: a single-blind randomised controlled trial study protocol

Introduction There is currently no clear indication in the literature regarding a single or double hamstring tendon (single bundle) autograft for anterior cruciate ligament (ACL) reconstruction in the paediatric patient. The primary aim of this single blind randomised controlled trial is to determin...

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Main Authors: Robert S Ware, Christopher P Carty, Joshua Byrnes, David Bade, Liam Johnson, Chris Stockton, Garrett Malayko, Kylie Bradford, Tristan Reddan, Kieran Frawley, Teresa Phillips, David Saxby
Format: Article
Language:English
Published: BMJ Publishing Group 2022-08-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/12/8/e057465.full
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author Robert S Ware
Christopher P Carty
Joshua Byrnes
David Bade
Liam Johnson
Chris Stockton
Garrett Malayko
Kylie Bradford
Tristan Reddan
Kieran Frawley
Teresa Phillips
David Saxby
author_facet Robert S Ware
Christopher P Carty
Joshua Byrnes
David Bade
Liam Johnson
Chris Stockton
Garrett Malayko
Kylie Bradford
Tristan Reddan
Kieran Frawley
Teresa Phillips
David Saxby
author_sort Robert S Ware
collection DOAJ
description Introduction There is currently no clear indication in the literature regarding a single or double hamstring tendon (single bundle) autograft for anterior cruciate ligament (ACL) reconstruction in the paediatric patient. The primary aim of this single blind randomised controlled trial is to determine whether a single or double hamstring tendon graft ACLR leads to superior clinical outcomes postsurgery in paediatric patients with ACL injury.Methods and analysis Single site, prospective, single blind, randomised controlled trial with two parallel treatment arms. 100 patients aged 10–18 years who present with an isolated ACL tear±meniscal injury, verified on MRI, will be randomly allocated to one of the two surgical groups. The primary outcomes will be side-to-side difference in anterior tibial translation and graft failure incidence 12 months postsurgery. Primary and secondary outcomes will also be assessed at 2-year and 5-year postsurgery.Ethics and dissemination Results will be presented in peer-reviewed journals and at international conferences and disseminated to participants and healthcare professionals via newsletters and hospital presentations. This study is approved by the Children’s Health Queensland Hospital and Health Service Human Research Ethics committee.Trial registration number ACTRN12620001170910p; Australian New Zealand Clinical Trials Registry.
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spelling doaj.art-95c6be671b1f48e3936fcee2403baa692022-12-22T04:02:20ZengBMJ Publishing GroupBMJ Open2044-60552022-08-0112810.1136/bmjopen-2021-057465Single versus double hamstring tendon graft in anterior cruciate ligament reconstruction in the paediatric patient: a single-blind randomised controlled trial study protocolRobert S Ware0Christopher P Carty1Joshua Byrnes2David Bade3Liam Johnson4Chris Stockton5Garrett Malayko6Kylie Bradford7Tristan Reddan8Kieran Frawley9Teresa Phillips10David Saxby11Alliance for Vascular Access Teaching and Research Group, Griffith University, Nathan, Queensland, Australia1 School of Allied Health Sciences, Griffith University, Gold Coast, Queensland, AustraliaAlliance for Vascular Access Teaching and Research Group, Griffith University, Nathan, Queensland, Australia8 Department of Orthopaedics, Queensland Children`s Hospital, South Brisbane, Queensland, Australia1 Stroke Division, The Florey Institute of Neuroscience and Mental Health, University of Melbourne, Heidelberg, Victoria, AustraliaMedical Imaging and Nuclear Medicine, Queensland Children`s Hospital, South Brisbane, Queensland, AustraliaDepartment of Orthopaedics, Children`s Health Queensland Hospital and Health Service, South Brisbane, Queensland, AustraliaDepartment of Orthopaedics, Children`s Health Queensland Hospital and Health Service, South Brisbane, Queensland, AustraliaDepartment of Medical Imaging and Nuclear Medicine, Children`s Health Queensland Hospital and Health Service, South Brisbane, Queensland, AustraliaDepartment of Medical Imaging and Nuclear Medicine, Children`s Health Queensland Hospital and Health Service, South Brisbane, Queensland, AustraliaDepartment of Orthopaedics, Children`s Health Queensland Hospital and Health Service, South Brisbane, Queensland, AustraliaGriffith Centre of Biomedical and Rehabilitation Engineering, Menzies Health Institute Queensland, Griffith University, Gold Coast, Queensland, AustraliaIntroduction There is currently no clear indication in the literature regarding a single or double hamstring tendon (single bundle) autograft for anterior cruciate ligament (ACL) reconstruction in the paediatric patient. The primary aim of this single blind randomised controlled trial is to determine whether a single or double hamstring tendon graft ACLR leads to superior clinical outcomes postsurgery in paediatric patients with ACL injury.Methods and analysis Single site, prospective, single blind, randomised controlled trial with two parallel treatment arms. 100 patients aged 10–18 years who present with an isolated ACL tear±meniscal injury, verified on MRI, will be randomly allocated to one of the two surgical groups. The primary outcomes will be side-to-side difference in anterior tibial translation and graft failure incidence 12 months postsurgery. Primary and secondary outcomes will also be assessed at 2-year and 5-year postsurgery.Ethics and dissemination Results will be presented in peer-reviewed journals and at international conferences and disseminated to participants and healthcare professionals via newsletters and hospital presentations. This study is approved by the Children’s Health Queensland Hospital and Health Service Human Research Ethics committee.Trial registration number ACTRN12620001170910p; Australian New Zealand Clinical Trials Registry.https://bmjopen.bmj.com/content/12/8/e057465.full
spellingShingle Robert S Ware
Christopher P Carty
Joshua Byrnes
David Bade
Liam Johnson
Chris Stockton
Garrett Malayko
Kylie Bradford
Tristan Reddan
Kieran Frawley
Teresa Phillips
David Saxby
Single versus double hamstring tendon graft in anterior cruciate ligament reconstruction in the paediatric patient: a single-blind randomised controlled trial study protocol
BMJ Open
title Single versus double hamstring tendon graft in anterior cruciate ligament reconstruction in the paediatric patient: a single-blind randomised controlled trial study protocol
title_full Single versus double hamstring tendon graft in anterior cruciate ligament reconstruction in the paediatric patient: a single-blind randomised controlled trial study protocol
title_fullStr Single versus double hamstring tendon graft in anterior cruciate ligament reconstruction in the paediatric patient: a single-blind randomised controlled trial study protocol
title_full_unstemmed Single versus double hamstring tendon graft in anterior cruciate ligament reconstruction in the paediatric patient: a single-blind randomised controlled trial study protocol
title_short Single versus double hamstring tendon graft in anterior cruciate ligament reconstruction in the paediatric patient: a single-blind randomised controlled trial study protocol
title_sort single versus double hamstring tendon graft in anterior cruciate ligament reconstruction in the paediatric patient a single blind randomised controlled trial study protocol
url https://bmjopen.bmj.com/content/12/8/e057465.full
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