All-inside versus complete tibial tunnel ACL reconstruction using hamstring grafts

Comparison of Clinical Outcomes Between All-Inside and Complete Tibial Tunnel Techniques in Anterior Cruciate Ligament Reconstruction Among Patients With ACL Ruptures

Not applicable Interventional Indonesia University · NCT07023653

This trial will test whether the all-inside or the complete tibial tunnel surgical technique leads to better recovery in adults (18–65) having ACL reconstruction with hamstring grafts.

Quick facts

PhaseNot applicable
Study typeInterventional
Enrollment40 (estimated)
Ages18 Years to 65 Years
SexAll
SponsorIndonesia University Academic / other
Locations2 sites (Depok and 1 other locations)
Trial IDNCT07023653 on ClinicalTrials.gov

What this trial studies

This is a double-blind randomized controlled trial comparing functional outcomes after ACL reconstruction using hamstring grafts performed with either an all-inside technique or a complete tibial tunnel technique. Adult patients aged 18–65 with ACL rupture will be randomized to one of the two surgical approaches. Outcomes including tibial translation, pain severity, IKDC score, and Tegner activity score will be measured by anamnesis and physical examination at 3, 6, 9, and 12 months postoperatively. The trial is conducted at Indonesian University Hospital in Depok and Cipto Mangunkusumo Hospital in Jakarta.

Who should consider this trial

Good fit: Ideal candidates are adults 18–65 years old with an isolated anterior cruciate ligament rupture who are eligible for hamstring autograft reconstruction and can attend scheduled follow-up visits.

Not a fit: Patients with multiple ligament knee injuries, severe osteochondral defects (ICRS 4), active knee joint inflammation, or who are pregnant are unlikely to receive benefit from this trial.

Why it matters

Potential benefit: If successful, the preferred technique could reduce postoperative pain and improve knee stability and overall function after ACL reconstruction.

How similar studies have performed: Previous randomized and observational studies comparing all-inside and full-tunnel techniques have reported mixed but generally promising results for the all-inside approach in lowering donor-site morbidity and early postoperative pain.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Patients with anterior cruciate ligament rupture
* Patients within the age range of 18 to 65 years

Exclusion Criteria:

* Patients with Multiple Ligament Injuries in the Knee Joint
* Patients with a pregnancy condition
* Patients with Severe Osteochondral Defect (ICRS 4)
* Patients with signs of inflamation in knee joint

Where this trial is running

Depok and 1 other locations

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Anterior Cruciate Ligament RuptureAll-inside Techniques
Last reviewed 2026-06-09 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.