ACL Tear: Reconstruction vs Primary Repair outcomes after surgery
Official title: Comparison of Clinical and Functional Outcomes After Anterior Cruciate Ligament Reconstruction and Primary Repair Surgery
Run by Gazi University · NCT07318272 · Data updated 2026-11-12
This study tests how patients who had ACL reconstruction compare with those who had arthroscopic primary ACL repair in terms of strength, endurance, fatigue, knee stability, and function after surgery.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years to 40 Years |
| Sex | All |
| Enrollment | 45 (estimated) |
| Sponsor | Gazi University Academic / other |
| Locations | 1 site (Ankara, Çankaya) |
| Status | Recruiting |
| Started | August 4, 2026 |
| Main results expected | July 1, 2027 |
| Study ends | November 30, 2027 |
| Registry record updated | August 25, 2026 |
| Trial ID | NCT07318272 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults aged 18–40 who had complete ACL rupture and underwent either ACL reconstruction or arthroscopic primary ACL repair at Gazi University, with at least 12 months since surgery and no exclusion conditions.
✕Probably not a fit
Patients with additional knee injuries, prior surgeries on the knee, or other conditions preventing full participation may have limited or no benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This observational study compares two surgical approaches for ACL injuries: reconstruction and arthroscopic primary repair. Researchers will evaluate postoperative muscle strength and endurance, fatigue response, muscle oxygenation, proprioception, knee stability, and posture control, with follow-up occurring at least 12 months after surgery. The aim is to understand medium- to long-term functional differences between the two techniques and identify factors that might influence outcomes. Participants are adults aged 18–40 who underwent either reconstruction or primary repair at the same institution and meet defined criteria. Interventions are not randomized, and adherence to follow-up assessments is required to ensure valid comparisons.
Why it matters
Potential benefit: If successful, the findings could help clinicians tailor surgical choices to improve long-term function after ACL injury.
How similar studies have gone: Previous work has explored outcomes of ACL reconstruction and repair separately, but direct, medium- to long-term comparisons in the same setting are limited/novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria for the ACL Reconstruction Group * Age 18-40 years * History of complete ACL rupture treated with ACL reconstruction * Surgery performed at Gazi University Department of Orthopedics and Traumatology * At least 12 months postoperative at the time of evaluation * Ability to comply with all study procedures * Signed informed consent Exclusion Criteria for the ACL Reconstruction Group * Previous surgery for partial or chronic ACL tear * Concomitant multi-ligament knee injuries * Prior surgery on the ipsilateral or contralateral knee * Lower extremity malalignment (e.g., significant varus/valgus) * Tibial avulsion-type ACL injury * Neurological or musculoskeletal disorders affecting lower limb function * Any medical condition that may interfere with test performance or safety Inclusion Criteria for the Primary ACL Repair Group * Age 18-40 years * Complete ACL rupture treated with arthroscopic primary ACL repair * Surgery performed at Gazi University Department of Orthopedics and Traumatology * Minimum 12 months postoperative at the time of assessment A-bility to follow and complete study procedures * Signed informed consent Exclusion Criteria for the Primary ACL Repair Group * Previous surgery for partial or chronic ACL injury * Multi-ligament knee injuries * History of surgery on either knee * Lower extremity malalignment * Tibial avulsion-type ACL rupture * Neuromuscular or musculoskeletal diseases affecting lower limb function or balance * Any condition that may affect participation or compromise safety Inclusion Criteria for the Healthy Control Group * Age 18-40 years * No significant lower-extremity malalignment (e.g., varus/valgus deformity) * No history of lower-extremity injury within the past 12 months * No known chronic systemic disease * No history of knee surgery or diagnosed knee pathology * Ability to understand and comply with study procedures * Signed informed consent Exclusion Criteria for the Healthy Control Group * Presence of clinically significant lower-extremity malalignment * Lower-extremity musculoskeletal injury within the last 12 months * Any chronic systemic or metabolic disease * History of knee injury, knee surgery, or diagnosed knee pathology * Neurological, vestibular, or musculoskeletal disorder affecting balance or gait * Inability to complete study procedures
Where it's running
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Gazi University Faculty of Health Sciences Department of Physiotherapy and Rehabilitation
Ankara, Çankaya, Turkey (Türkiye) Recruiting
Study contacts
- Principal investigator: Dudu Ozdemir Can, MSc — Gazi University
- Study coordinator: Dudu Ozdemir Can, Msc
- Email: duduozdemir@gazi.edu.tr
- Phone: 90 5534448492
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Arthrocentesis with ACL Reconstruction for Acute ACL Tears
This trial tests whether draining the knee before and after ACL reconstruction helps reduce inflammation, prevent muscle loss, and speed recovery in people with a recent ACL tear.
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Analgesic effects of adding BiFeS block to adductor canal block after ACL reconstruction
This study tests whether adding a BiFeS block to the standard adductor canal block provides better pain relief after ACL reconstruction.
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Donor ankle sensorimotor recovery after ACL reconstruction with a peroneus longus graft
This study tests how the donor ankle recovers sensorimotor function after ACL reconstruction using a peroneus longus tendon autograft in adults 18–55.
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Augmented Reality in ACL Surgery using AI to identify landmarks
A computer‑vision AI will try to reliably recognize anatomical landmarks during ACL reconstruction using the existing arthroscope without changing the procedure.
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Preoperative cognitive-behavioral program to reduce fear of movement and improve function after an ACL tear
This project tests whether a short pre-surgery cognitive-behavioral program can reduce fear of movement and improve walking, jogging, and balance in adults 18–45 with a recent ACL tear scheduled for reconstruction.
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Fractal versus steady visual walking cues after ACL reconstruction
This tests whether fractal (variable) visual walking cues or steady metronome-like cues help athletes who had ACL reconstruction walk with steadier, safer patterns.
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.