ACL reconstruction using a human cortical bone (Shark Screw®) versus a biocomposite interference screw
Official title: ACL Reconstruction With Human Allograft Cortical Bone Screw (Shark Screw®) or Biocomposite-interference Screws - a Prospective, Randomized, Controlled Trial.
Run by Bezirkskrankenhaus Schwaz · NCT06357091 · Data updated 2026-11-12
This trial will test whether using a human cortical bone screw (Shark Screw®) instead of a biocomposite interference screw reduces tunnel widening and keeps re-rupture rates low for people having ACL reconstruction.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 80 (estimated) |
| Sponsor | Bezirkskrankenhaus Schwaz Academic / other |
| Locations | 1 site (Schwaz, Tyrol) |
| Status | Recruiting |
| Started | February 16, 2026 |
| Main results expected | January 31, 2034 |
| Study ends | January 31, 2034 |
| Registry record updated | January 21, 2026 |
| Trial ID | NCT06357091 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are people with an MRI-confirmed ACL rupture who are indicated for reconstruction within six months of injury and have an uninjured contralateral knee.
✕Probably not a fit
Patients with a prior ACL rupture on the same knee, primary bone disease, inflammatory disease, unstable meniscus, complete collateral ligament rupture, or early rerupture during follow-up are unlikely to benefit from this comparison.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
Adults with MRI-confirmed ACL rupture who need reconstructive surgery will receive graft fixation with either a human allogeneic cortical bone screw (Shark Screw®) or a biocomposite interference screw; outcomes will be compared over two years. Tunnel widening will be measured using MRI and CT at specified intervals and re-rupture rates will be recorded. Standard knee outcome questionnaires will be collected before surgery and at 6, 12, and 24 months after surgery. The trial focuses on whether the human cortical bone screw leads to less tunnel dilatation and similar or lower failure rates than the conventional biocomposite screw.
Why it matters
Potential benefit: If successful, the human cortical bone screw could reduce tunnel widening and potentially lower re-rupture risk, which may preserve bone stock and simplify any future revision surgery.
How similar studies have gone: Conventional interference-screw fixation is well established, but comparative evidence for human allogeneic cortical bone screws is limited, so this is a relatively novel comparative approach.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * MRI-verified rupture of the anterior cruciate ligament * Indication for replacement surgery * Surgery within 6 months of injury * Uninjured contralateral knee Exclusion Criteria: * Previous rupture of the anterior cruciate ligament on the side to be operated on (rerupture) * Primary bone disease * inflammatory disease * Unstable meniscus * complete rupture of a collateral ligament * early rerupture during the examination period (early rerupture)
Where it's running
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Bezirkskrankenhaus Schwaz Betriebsgesellschaft m.b.H
Schwaz, Tyrol, Austria Recruiting
Study contacts
- Principal investigator: Alexander Rofner-Moretti, MD — Bezirkskrankenhaus Schwaz Betriebsgesellschaft m.b.H
- Study coordinator: Alexander Rofner-Moretti, MD
- Email: alexander.rofner-moretti@kh-schwaz.at
- Phone: +435242600
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.