Comparing ACL repair and reconstruction for knee injuries
Official title: Arthroscopic Anterior Cruciate Ligament Repair Versus Reconstruction for Acute Anterior Cruciate Ligament Injury: a Multicenter Randomized Controlled Surgical Trial
Run by Second Affiliated Hospital, Zhejiang University, School of Medicine · NCT05584020 · Data updated 2026-11-12
This study is testing whether a new way to fix knee ligament injuries can work as well as the standard surgery for people who hurt their ACL recently.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 140 (estimated) |
| Sponsor | Second Affiliated Hospital, Zhejiang University, School of Medicine Academic / other |
| Locations | 1 site (Hangzhou, Zhejiang) |
| Status | Recruiting |
| Started | November 18, 2022 |
| Main results expected | December 2028 |
| Study ends | December 2029 |
| Registry record updated | July 24, 2026 |
| Trial ID | NCT05584020 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are individuals with Sherman grade I or II ACL tears who are scheduled for surgery within three weeks of their injury.
✕Probably not a fit
Patients with additional knee injuries or systemic diseases may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This clinical trial investigates the effectiveness of arthroscopic anterior cruciate ligament (ACL) repair compared to the traditional ACL reconstruction in patients with acute ACL injuries. The study aims to determine if the repair technique, which preserves natural ligaments and reduces complications, is as effective as reconstruction. It involves a multicenter, randomized design with patients undergoing surgery within three weeks of their injury. The trial will provide high-quality evidence to guide treatment decisions for ACL injuries.
Why it matters
Potential benefit: If successful, this study could offer a less invasive and more effective treatment option for patients with ACL injuries.
How similar studies have gone: While ACL reconstruction is the current standard, the repair technique is gaining attention, and this study aims to provide the first high-quality evidence for its effectiveness.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Patients with anterior cruciate ligament tear clearly identified by imaging or intraoperative microscope, Sherman grade I, II; planned surgery within 3 weeks after injury 2. Basic reading and writing skills, and barrier-free communication 3. A smartphone, can use WeChat or be able to learn 4. Patients give informed consent, and sign the informed consent form, and the process must meet the requirements of GCP Exclusion Criteria: 1. Combined with other knee joint injuries (posterior cruciate ligament injury, patellar dislocation, osteoarthritis, etc.) 2. Suffering from systemic immune diseases; 3. Existing other knee joint diseases or inflammatory diseases, including osteoarthritis, cervical spine disease, rheumatoid arthritis, fibromyalgia, polymyalgia rheumatica, etc. 4. Patients who have received local hormone injection within 3 months; 5. Those who have participated in clinical trials or are undergoing other clinical trials within 3 months before screening 6. Those who have serious primary cardiovascular disease, lung disease, endocrine and metabolic disease or serious diseases that affect their survival, such as tumor or AIDS, the researchers believe that they are not suitable for selection 7. Patients with severe liver disease, kidney disease, and hematological disease, such as renal function exceeding the upper limit of the normal value, and liver function exceeding 2 times the upper limit of the normal value; 8. Suffering from viral hepatitis, infectious diseases, severe abnormal blood coagulation mechanism and other Diseases that the researchers consider inappropriate for surgery 9. Women who are pregnant or breastfeeding, or who plan to become pregnant during the follow-up period, those who have a positive urine human chorionic gonadotropin test result before sampling; menstruating women should wait until the end of menstruation before surgery; 10. Severe neurological and mental disorders Disease patients; 11. Suspected or actual history of alcohol and drug abuse.
Where it's running
-
Second Affiliated Hospital, School of Medicine, Zhejiang University
Hangzhou, Zhejiang, China Recruiting
Study contacts
- Study coordinator: Xuesong Dai, Doctor
- Email: daixshz@163.com
- Phone: +8613777882818
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Perturbation Training vs Functional Activities after ACL Reconstruction
This study tests whether perturbation training or task-oriented functional activities help people 18–45 with ACL reconstruction recover better than standard rehab.
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Tracking recovery after arthroscopic shoulder and knee surgeries
This will follow people having routine arthroscopic shoulder or knee surgery to see if patient characteristics, tear details, or surgical choices predict better recovery and function over two years.
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Magic Angle Direction Imaging for ACL tears and meniscus injuries
This study tries a new low-field MRI technique called Magic Angle Direction Imaging to see if it shows ACL tears and meniscus injuries more clearly in adults scheduled for ligament repair.
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Proprioceptive exercises to aid recovery after ACL surgery
This trial will see if adding proprioceptive exercises to standard balance training helps people aged 20–40 during the early rehab period after ACL surgery.
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Visual-guided balance training to improve knee function after ACL reconstruction
This program tests whether adding visual-guided balance training to standard rehabilitation helps adults 18–45 recover knee function and walking after ACL reconstruction.
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Predicting knee cartilage wear and pain after early osteoarthritis or a recent ACL injury
This project will try to create computer models that predict cartilage damage and pain over time for people with early knee osteoarthritis or an ACL injury within the past year.
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.