Clinical trial Recruiting at 1 site Observational Ages 18 to 50

ACL reconstruction with lateral extra‑articular tenodesis (LET): clinical and biomechanical outcomes

Official title: Clinical and Biomechanical Outcomes of Anterior Cruciate Ligament (ACL) Reconstruction Associated With Lateral Extra-articular Tenodesis (LET): a Short-term Prospective Arthrometric Study

Run by Istituto Ortopedico Rizzoli · NCT07049484 · Data updated 2026-11-12

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.

Quick facts

Study typeObservational
Ages18 Years to 50 Years
SexAll
Enrollment51 (estimated)
SponsorIstituto Ortopedico Rizzoli
Academic / other
Locations1 site (Bologna)
StatusRecruiting
StartedMarch 24, 2026
Main results expectedJune 2028
Study endsJune 2029
Registry record updatedApril 22, 2026
Trial IDNCT07049484 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults aged 18–50 undergoing isolated primary ACL reconstruction with the over‑the‑top technique using autologous gracilis and semitendinosus tendons who give informed consent are ideal candidates.

Probably not a fit

Patients with prior surgery on the same limb, additional ligament injuries or other simultaneous knee procedures, those outside the 18–50 age range, or those having a different surgical technique are unlikely to benefit from joining this protocol.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This is an observational study at the Rizzoli Orthopaedic Institute following adults who undergo ACL reconstruction using the over‑the‑top single‑bundle technique with gracilis and semitendinosus tendons combined with LET. Clinical outcomes and biomechanical measures of knee stability will be collected after surgery to describe results in routine practice. The protocol focuses on isolated primary ACL reconstructions without other concomitant ligament repairs or additional procedures. The work is motivated by cadaveric data supporting a stabilizing effect of LET and mixed in vivo findings that warrant further clinical characterization.

Why it matters

Potential benefit: If successful, the findings could clarify whether adding LET provides better knee stability and lower re‑injury risk, helping surgeons choose the optimal reconstruction approach.

How similar studies have gone: Cadaveric biomechanical studies have generally shown improved anteroposterior and rotational stability with LET, but recent in vivo data are mixed and report primarily anteroposterior gains only.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Patients undergoing isolated ACL reconstruction using gracilis and semitendinosus tendons with the over-the-top technique and LET.
* Both male and female patients.
* Patients who have given consent to participate in the study.
* Age between 18 and 50 years at the time of surgery.

Exclusion Criteria:

* Previous surgery on the same limb (meniscectomy, prior ACL reconstruction, displaced fractures).
* Surgical technique different from Over-the-Top with LET using autologous gracilis and semitendinosus tendons.
* Other concomitant ligament injuries requiring surgical treatment.
* Patients undergoing additional procedures at the same time as ACL reconstruction and LET (e.g., concomitant osteotomy, meniscus transplant, cartilage procedure…).
* Patients who did not provide informed consent.

Where it's running

  • IRCCS Istituto Ortopedico Rizzoli
    Bologna, Italy
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.