Bone-patellar tendon–bone graft versus patellar tendon graft for ACL reconstruction
Official title: Comparison of Morbidity and Functional Outcomes After Anterior Cruciate Ligament Reconstruction With Bone-Tendon-Bone Graft Versus Patellar Tendon Graft Without Patellar Bone Plug in Competitive Athletes
Run by Universidad de Granada · NCT07475351 · Data updated 2026-11-12
This randomized comparison tests whether a patellar tendon graft without the patellar bone plug reduces donor-site problems and gives similar knee function to the standard bone–patellar tendon–bone graft in athletes undergoing ACL reconstruction.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 12 Years to 40 Years |
| Sex | All |
| Enrollment | 110 (estimated) |
| Sponsor | Universidad de Granada Academic / other |
| Locations | 1 site (Granada, Granada) |
| Status | Recruiting |
| Started | January 1, 2026 |
| Main results expected | March 2027 |
| Study ends | March 2028 |
| Registry record updated | March 23, 2026 |
| Trial ID | NCT07475351 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Active athletes aged 12–40 with an ACL tear within six months, patellar tendon length over 42 mm on MRI, and no prior ligament surgery or major meniscal/chondral damage are the ideal candidates.
✕Probably not a fit
Patients with prior knee ligament surgery, concomitant multiligament injuries, major meniscal tears (>50%), or significant cartilage damage (Outerbridge > II) are excluded and unlikely to benefit from 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 a single-center randomized surgical comparison enrolling active athletes with recent ACL tears to receive either a standard bone–patellar tendon–bone (BPTB) graft or a patellar tendon graft without the patellar bone plug (BPT) for ACL reconstruction. Participants undergo surgery and a structured follow-up program with assessments at 3, 8, 12, and 24 months to capture complications, donor-site morbidity, clinical measures, and functional outcomes. Key inclusion criteria include age 12–40, injury-to-surgery time under six months, and patellar tendon length >42 mm on MRI; major meniscal or high-grade chondral injuries and prior ligament surgery are excluded. The trial compares incidence of anterior knee pain, kneeling discomfort, sensory changes, reinjury, and objective knee stability between the two graft techniques.
Why it matters
Potential benefit: If successful, the patellar-sparing graft could reduce anterior knee pain and kneeling problems while preserving equivalent knee stability and function.
How similar studies have gone: Smaller prior studies have reported lower rates of anterior knee pain with patellar-sparing techniques compared with BPTB, but randomized high-quality evidence is still limited.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Time for injury to surgery of less than six months. * Active athletes (federated or recreational) * Patellar tendon length \> 42mm measured by MRI. * Age between 12 and 40 years old * Genders eligible for Study: both Exclusion Criteria: * Previous surgery or history of ligamentous knee injuries. * Concomitant knee ligament injury * Major meniscal injury (more than 50% of the lateral or medial meniscus) * Chondral injury greater than Outerbridge Grade I-II
Where it's running
-
Health Sciences Faculty, University of Granada
Granada, Granada, Spain Recruiting
Study contacts
- Study coordinator: Jose M Rodriguez-Delgado
- Email: josemariard@ugr.es
- Phone: +34664807986
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Correlation between where the knee tunnels are placed during ACL reconstruction and how well the knee heals
This study tests whether the position of the femoral and tibial tunnels during ACL reconstruction relates to how well patients recover.
-
Neuromuscular Profiles After ACL Reconstruction
This study tests how quadriceps and hamstring strength and muscle activation patterns look 4–12 months after ACL reconstruction to see if distinct neuromuscular profiles emerge.
-
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.
-
Quadriceps tendon vs peroneus longus tendon grafts for ACL reconstruction
This randomized trial tests whether using a quadriceps tendon autograft works as well as a peroneus longus tendon autograft for ACL reconstruction in adults, looking at knee function and donor-site effects.
-
Phone app vs supervised preoperative exercise for ACL reconstruction
This trial tests whether a mobile app-guided preoperative exercise plan works as well as in-person therapy or no specific plan for people awaiting ACL reconstruction.
-
Absorbable oxandrolone implant to help recovery after ACL reconstruction
This test will see if a bioabsorbable oxandrolone pellet placed under the skin helps men and women recover muscle mass, strength, and knee function after ACL reconstruction.
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.