Clinical trial Recruiting at 1 site Interventional Ages 16 to 40

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 typeInterventional
Ages16 Years to 40 Years
SexAll
Enrollment200 (estimated)
SponsorKarolinska Institutet
Academic / other
Locations1 site (Stockholm, Stockholm County)
StatusRecruiting
StartedFebruary 10, 2020
Main results expectedMay 31, 2027
Study endsMay 31, 2035
Registry record updatedSeptember 18, 2025
Trial IDNCT04295148 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

  • 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

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 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.