Protocol summary

Study aim
The purpose of this study is to evaluate the results of two treatment methods (full weight bearing immediately after surgery and Partial weight bearing in the first month after surgery) in patients with Anterior Cruciate Ligament (ACL) tear
Design
Double-Blind randomized clinical trial (random block size: 4, via online Random allocation software), includes 84 patients in the two groups experimental and control group and phase 3 study
Settings and conduct
In this double blind randomized clinical trial, patient’s sufferer Anterior Cruciate Ligament (ACL) rupture will be enrolled. This study includes patients referred to our orthopedic academic center (Poursina hospital) who are candidates for ACL reconstructive surgery and they will be divided randomly to two groups of full weight bearing immediately after surgery and Partial weight bearing in the first month after surgery
Participants/Inclusion and exclusion criteria
Inclusion criteria: Anterior Cruciate Ligament (ACL) rupture defined as +3 Lachman test in physical examination confirmed by Knee MRI as complete rupture Individuals aged from 18 to 50 Individual consent for participation in the study Exclusion criteria: Any history of knee surgery History of ACL rupture in opposite knee Any injuries in knee ligaments Abnormal radiography of the knee. (Including varus above 15 degrees) Any sign or symptom in hip or ankle.
Intervention groups
Experimental group: full weight bearing immediately after surgery Control group: Partial weight bearing in the first month after surgery in patients with anterior cruciate ligament rupture
Main outcome variables
time to return to exercise, quality of return to exercise, range of motion, Lachman test (+3 - 0), Knee Injury and Osteoarthritis Outcome Score (KOOS), , Lysholm Score, International Knee Documentation Committee (IKDC), Pain during kneeling, Anterior knee pain

General information

Reason for update
Acronym
IRCT registration information
IRCT registration number: IRCT20110809007274N17
Registration date: 2022-02-10, 1400/11/21
Registration timing: registered_while_recruiting

Last update: 2022-02-10, 1400/11/21
Update count: 0
Registration date
2022-02-10, 1400/11/21
Registrant information
Name
Mohsen Mardani Kivi
Name of organization / entity
Guilan University of Medical Sciences
Country
Iran (Islamic Republic of)
Phone
+98 13 1321 1470
Email address
mardani@gums.ac.ir
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2022-01-25, 1400/11/05
Expected recruitment end date
2022-06-20, 1401/03/30
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Evaluation of full weight bearing results immediately after surgery compared with Partial weight bearing in the first month after surgery in patients with anterior cruciate ligament rupture: A randomized clinical trial
Public title
full weight bearing immediately after surgery and Partial weight bearing in the first month in anterior cruciate ligament rupture
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria:
Anterior Cruciate Ligament (ACL) rupture defined as +3 Lachman test in physical examination confirmed by Knee Magnetic resonance imaging (MRI) as complete rupture Individuals aged from 18 to 50 Individual consent for participation in the study
Exclusion criteria:
Any history of knee surgery History of Anterior Cruciate Ligament (ACL) rupture in opposite knee Any injuries in knee ligaments Abnormal radiography of the knee (including Varus above 15 degrees) Any sign or symptom in hip or ankle
Age
From 18 years old to 50 years old
Gender
Both
Phase
3
Groups that have been masked
  • Participant
  • Care provider
  • Investigator
  • Outcome assessor
  • Data analyser
Sample size
Target sample size: 84
Randomization (investigator's opinion)
Randomized
Randomization description
In this study estimated sample size is 84 patients and randomization will be applied using random block design (block size: 4, via online Random allocation software). So, 21 quadruple blocks will be obtained and 42 patients will be in group A and 42 patients in group B. List of patients is kept in orthopedic research center in a sealed envelope and will be read daily after the study begins.
Blinding (investigator's opinion)
Double blinded
Blinding description
In current Double-Blind randomized clinical trial, patients are unaware about when and how to weight bearing. Also, evaluating researcher will be different from the person doing the study intervention. Two orthopedic assistants will be used for this purpose.
Placebo
Not used
Assignment
Parallel
Other design features

Secondary Ids

empty

Ethics committees

1

Ethics committee
Name of ethics committee
Research Ethics Committees of Guilan university of medical sciences
Street address
Poursina Hospital, Poursina Crossroads, Rasht, Guilan, Iran
City
Rasht
Province
Guilan
Postal code
41937-13194
Approval date
2022-01-12, 1400/10/22
Ethics committee reference number
IR.GUMS.REC.1400.493

Health conditions studied

1

Description of health condition studied
Anterior Cruciate Ligament (ACL) rupture
ICD-10 code
S83.51
ICD-10 code description
Sprain and strain of knee: Distortion of anterior cruciate ligament

Primary outcomes

1

Description
Time to return to exercise
Timepoint
1, 3 and 6 months after surgery
Method of measurement
Ask the patient

2

Description
Quality of return to exercise
Timepoint
1, 3 and 6 months after surgery
Method of measurement
Ask the patient

3

Description
Range of motion
Timepoint
Before and 3 and 6 months after surgery
Method of measurement
According to the surgeon's report

4

Description
International Knee Documentation Committee (IKDC)
Timepoint
Before and 3 and 6 months after surgery
Method of measurement
Based on IKDS questionnaire

5

Description
Knee Injury and Osteoarthritis Outcome Score (KOOS)
Timepoint
Before and 3 and 6 months after surgery
Method of measurement
Based on KOOS questionnaire

6

Description
Lachman test
Timepoint
Before and 3 and 6 months after surgery
Method of measurement
According to the surgeon's report

7

Description
Lysholm Score
Timepoint
Before and 3 and 6 months after surgery
Method of measurement
Based on Lysholm questionnaire

8

Description
Anterior knee pain
Timepoint
Before and 3 and 6 months after surgery
Method of measurement
Ask the patient

9

Description
Pain during kneeling
Timepoint
Before and 3 and 6 months after surgery
Method of measurement
Ask the patient

Secondary outcomes

empty

Intervention groups

1

Description
Intervention group: Full weight bearing immediately after surgery
Category
Treatment - Other

2

Description
Control group: Partial weight bearing in the first month after surgery in patients with anterior cruciate ligament rupture
Category
Treatment - Other

Recruitment centers

1

Recruitment center
Name of recruitment center
Poursina Hospital
Full name of responsible person
dr. Mohsen Mardani-kivi
Street address
Poursina Hospital, Poursina Crossroads, Rasht, Guilan, Iran
City
Rasht
Province
Guilan
Postal code
41937-13194
Phone
+98 13 3332 5783
Fax
+98 13 3333 9842
Email
poursina@gums.ac.ir
Web page address
https://poursina.gums.ac.ir/

Sponsors / Funding sources

1

Sponsor
Name of organization / entity
Rasht University of Medical Sciences
Full name of responsible person
dr. Mohammadreza Naghipour
Street address
Namjoo St, Shahid Siadati St, in front of 17 Shahrivar Hospital, Rasht, Guilan, Iran
City
Rasht
Province
Guilan
Postal code
41937-13194
Phone
+98 13 3333 6394
Fax
+98 13 3332 4168
Email
naghi@gums.ac.ir
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Rasht University of Medical Sciences
Proportion provided by this source
100
Public or private sector
Public
Domestic or foreign origin
Domestic
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
Academic

Person responsible for general inquiries

Contact
Name of organization / entity
Rasht University of Medical Sciences
Full name of responsible person
dr. Mohsen Mardani-kivi
Position
Associate professor
Latest degree
Subspecialist
Other areas of specialty/work
Orthopedics
Street address
Poursina Hospital, Poursina Crossroads, Rasht, Guilan, Iran
City
Rasht
Province
Guilan
Postal code
41937-13194
Phone
+98 13 3332 5783
Email
mardani.kivi@gmail.com

Person responsible for scientific inquiries

Contact
Name of organization / entity
Rasht University of Medical Sciences
Full name of responsible person
dr. Mohsen Mardani-kivi
Position
Associate professor
Latest degree
Subspecialist
Other areas of specialty/work
Orthopedics
Street address
Poursina Hospital, Poursina Crossroads, Rasht, Guilan, Iran
City
rasht
Province
Guilan
Postal code
41937-13194
Phone
+98 13 3332 5783
Email
mardani.kivi@gmail.com

Person responsible for updating data

Contact
Name of organization / entity
Mashhad University of Medical Sciences
Full name of responsible person
zoleikha azari
Position
Ph.D student
Latest degree
Ph.D.
Other areas of specialty/work
Anatomy
Street address
Poursina Hospital, Poursina Crossroads, Rasht, Guilan, Iran
City
rasht
Province
Guilan
Postal code
41937-13194
Phone
+98 13 3332 5783
Email
fereshteh.azari90@gmail.com

Sharing plan

Deidentified Individual Participant Data Set (IPD)
Undecided - It is not yet known if there will be a plan to make this available
Study Protocol
Undecided - It is not yet known if there will be a plan to make this available
Statistical Analysis Plan
Undecided - It is not yet known if there will be a plan to make this available
Informed Consent Form
Undecided - It is not yet known if there will be a plan to make this available
Clinical Study Report
Undecided - It is not yet known if there will be a plan to make this available
Analytic Code
Undecided - It is not yet known if there will be a plan to make this available
Data Dictionary
No - There is not a plan to make this available
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