ACL reconstruction using the Over-The-Top technique with either metal staples or soft anchors
Official title: Mid-term Postoperative Clinical Evaluation of Patients Undergoing Anterior Cruciate Ligament (ACL) Reconstruction Using the Over-The-Top Technique, Fixed With Metal Staples or Soft Anchors
Run by Istituto Ortopedico Rizzoli · NCT07819929 · Data updated 2026-11-12
This study tests whether using a suture-based fixation (soft anchors) during OTT ACL reconstruction works as well as metal staples for graft stability in adults aged 18–50.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years to 50 Years |
| Sex | All |
| Enrollment | 46 (estimated) |
| Sponsor | Istituto Ortopedico Rizzoli Academic / other |
| Locations | 1 site (Bologna) |
| Status | Recruiting |
| Started | October 13, 2026 |
| Main results expected | August 2030 |
| Study ends | August 2030 |
| Registry record updated | November 10, 2026 |
| Trial ID | NCT07819929 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults 18–50 with isolated ACL injuries (with or without meniscal treatment) scheduled for ACL reconstruction using the OTT technique.
✕Probably not a fit
Patients with additional ligament injuries, extensive meniscal damage, or high-grade chondral lesions may not benefit from this approach.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
Adults undergoing ACL reconstruction with the Over-The-Top technique are enrolled to compare fixation methods using either metal staples or soft anchors. The focus is on mid-term knee stability and function after surgery, with attention to graft fixation quality and patient-reported outcomes. The study follows standard postoperative care and evaluates outcomes at defined intervals to identify differences in fixation-related complications and knee performance. This is an interventional study without a specified phase, centered on a surgical technique rather than a drug or device alone. Eligibility excludes complex ligament injuries and certain meniscal or cartilage conditions to create a relatively uniform patient group.
Why it matters
Potential benefit: If successful, using soft anchors could reduce hardware-related complications and improve patient comfort while maintaining graft stability.
How similar studies have gone: Prior work suggests OTT with different fixation methods can provide satisfactory outcomes, but direct comparisons in mid-term outcomes are less common.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Patients of either sex, aged between 18 and 50 years at the time of surgery; 2. Patients with an isolated anterior cruciate ligament (ACL) injury, with or without associated meniscal lesions, scheduled for ACL reconstruction and meniscal treatment; .3 Patients whose contralateral knee has never undergone meniscectomy, ligament reconstruction, unicompartmental knee arthroplasty, or total knee arthroplasty; 4\. Patients who have signed the informed consent form. Exclusion Criteria: 1. Patients with associated injury of the medial collateral ligament (MCL), lateral collateral ligament (LCL), posterolateral corner (PLC), or posterior cruciate ligament (PCL); 2. Patients with complete meniscal root tears, complete radial tears, or lateral meniscus oblique tears (LMORT); 3. Patients who underwent total or subtotal medial or lateral meniscectomy; 4. Patients with grade III-IV chondral lesions according to the Outerbridge classification identified at the time of surgery; 5. Patients who are unable to provide informed consent or who are unwilling to provide informed consent; 6. Patients with insufficient and/or compromised bone quality or quantity due to disease, infection, or previous implantation, such that adequate support and/or fixation of the devices cannot be ensured; 7. Patients with limited blood supply or a history of infections that could delay healing; 8. Patients with sensitivity to foreign materials.
Where it's running
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IRCCS Rizzoli Orthopedic Institute
Bologna, Italy Recruiting
Study contacts
- Study coordinator: Stefano Zaffagnini
- Email: stefano.zaffagnini@ior.it
- Phone: 0516366075
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Plyometric training added to standard rehab after ACL reconstruction
This study tests whether adding plyometrics to the usual rehab after ACL reconstruction helps improve leg strength and function in adults aged 18–40.
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Isokinetic vs Plyometric Training After ACL Reconstruction
This trial tests whether isokinetic or plyometric training, added after standard rehab, best improves strength, function, and patient-reported outcomes in adults 18–40 after ACL reconstruction.
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Arthroscopic ACL reconstruction with peroneus longus graft with or without a platelet-rich plasma (PRP) injection
This test sees if a single 4 ml intra-articular PRP injection given during ACL reconstruction with a peroneus longus graft helps adults (18–50) with isolated ACL tears recover better over 12 months.
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Movement-related fear after ACL reconstruction: general kinesiophobia versus task-specific sport fear
This trial will test whether visual and imagined movement exposures reveal task-specific fear versus general kinesiophobia in people aged 18–35 recovering from ACL reconstruction.
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ACL reconstruction with lateral extra‑articular tenodesis (LET): clinical and biomechanical outcomes
This project will see if adding lateral extra‑articular tenodesis (LET) to ACL reconstruction changes knee stability and recovery in adults 18–50 who receive gracilis and semitendinosus grafts.
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Focused shock wave therapy to help recovery after ACL surgery
This program will test whether adding a weekly low‑intensity focused shock wave treatment to standard physiotherapy helps adults aged 18–45 regain strength, motion, balance, and reduce pain after ACL reconstruction with a hamstring graft.
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.