Comparing two types of grafts for knee ligament surgery
Official title: SEQUAR - SEmitendinosus vs QUadriceps in Anterior Cruciate Ligament Reconstruction - a Prospective Randomized Study
Run by Karolinska Institutet · NCT04295148 · Data updated 2026-11-12
This study is testing which type of graft works better for knee ligament surgery in athletes who have injured their ACL.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 16 Years to 40 Years |
| Sex | All |
| Enrollment | 200 (estimated) |
| Sponsor | Karolinska Institutet Academic / other |
| Locations | 1 site (Stockholm, Stockholm County) |
| Status | Recruiting |
| Started | February 10, 2020 |
| Main results expected | May 31, 2027 |
| Study ends | May 31, 2035 |
| Registry record updated | September 18, 2025 |
| Trial ID | NCT04295148 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are athletes with a verified ACL rupture who have a pre-injury Tegner Activity Scale of 7 or higher and intend to return to their previous level of sports activity.
✕Probably not a fit
Patients with previous knee injuries, significant ligament laxity, or other complicating medical conditions 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 evaluates the effectiveness of two different grafts used in Anterior Cruciate Ligament (ACL) reconstruction: the semitendinosus hamstrings graft and the quadriceps tendon graft. Conducted at Capio Artro Clinic in Stockholm, the study involves a randomized control design with 200 athletes who have sustained ACL injuries. Participants will be monitored over a two-year period to assess outcomes such as knee laxity, return to sports, and graft maturity through MRI scans. The study aims to provide insights into which graft may offer better long-term results for athletes.
Why it matters
Potential benefit: If successful, this study could lead to improved surgical outcomes and recovery for athletes undergoing ACL reconstruction.
How similar studies have gone: Previous studies have shown varying success with different graft types in ACL reconstruction, but this specific comparison is novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Pre-injury Tegner Activity Scale≥7 * Intended return to sports to prior sport and Tegner Activity Scale Level * Time between injury and inclusion not more than 6 months * MR verified ACL rupture Exclusion Criteria: * Previous knee injury with symptoms before ACL injury * Neurological disease, inflammatory disease, connective tissue disease or balance disorder * Previous lower limb fracture or surgery * Laxity in the medial collateral ligament (MCL) and lateral collateral ligament (LCL) \> grade 1 * PCL rupture or Multiligament knee injury (MLKI) * Radiographic sign of osteoarthritis (OA) * Previous knee surgery or ligament injury in contralateral knee * Beighton score ≥ 5
Where it's running
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Capio Artro Clinic AB
Stockholm, Stockholm County, Sweden Recruiting
Study contacts
- Principal investigator: Anders Stålman, MD,PhD — Karolinska Institutet
- Study coordinator: Anders Stålman, MD,Phd
- Email: anders.stalman@ki.se
- Phone: 0046736665957
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Using intraosseous morphine to manage pain during ACL reconstruction
This study tests if giving morphine directly into the bone can help reduce pain and the need for other pain medications in young adults having ACL surgery.
-
Vibration therapy for knee pain after ACL surgery
This study is testing if whole body vibration therapy can help people aged 18 to 60 recover better from knee pain after ACL surgery.
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Using Vitamin D to Boost Quadricep Strength After ACL Injury
This study is testing if taking Vitamin D3 can help young adults recovering from ACL surgery build stronger thigh muscles.
-
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.
-
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.
-
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.
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.