An interventional study of Osteopathy and Physiotherapy in Cruciate Ligament Rupture, Knee Ligament Injury and Osteopathia, sponsored by Ramsay Générale de Santé. Recruiting at 1 site in France. Open to participants aged 18 Years to 35 Years. Per ClinicalTrials.gov, last updated 2023-05-25.
Sponsored by Ramsay Générale de Santé · Not applicable, Interventional, and Supportive care
The antero-external cruciate ligament (ACL) is the ligament located inside the knee, which allows the rotation of the knee by stabilizing the femur and the tibia. Rupture of the ACL is common during the practice of certain so-called "pivot" sports, whether contact or not. It is manifested by acute pain or instability of the knee, following a crack during a twist and/or a blockage of the joint. The diagnosis will be confirmed by a clinical examination and X-rays to eliminate any fracture or tearing and by MRI to visualize the ligament rupture and the associated lesions, in particular a lesion of the meniscus.
Treatment is required because the ruptured ligament does not heal on its own and the rupture of the ligament may eventually promote the appearance of osteoarthritis. Two types of treatment can be considered, rehabilitation or surgery, depending on the patient's age and motivation to resume sports. There are several surgical techniques, the most common is to reconstruct the ruptured ligament by arthroscopy using a graft taken from the tendons of the Internal Rectus and Demi muscles tendinous (DIDT). Rehabilitation by physiotherapy is often started preoperatively and immediately after the operation, as soon as you wake up, to find a functional and painless knee. Functional recovery often depends on patient motivation.
The main objective is to show that osteopathic care in addition to physiotherapy rehabilitation improves knee functionality in patients 6 months after reconstruction of the ACL by DIDT.
177 studies on the registry are indexed under Bone Diseases; 38 are open to participants now.
This study's planned enrollment of 94 is above the median of 53 across 113 interventional studies indexed under Bone Diseases.
Browse Bone Diseases studies →Ramsay Générale de Santé is the lead sponsor of 42 studies on the registry; 10 are open to participants now.
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Exclusion Criteria:
Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.
What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.
A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.
BMI (body mass index)
Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.
What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Contraindication
A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.
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Patients after their DIDT surgery have 4 osteopathy sessions in addition to physiotherapy
Other: Osteopathy · Other: Physiotherapy
Patients after their DIDT surgery have only physiotherapy
Other: Physiotherapy
4 sessions of osteopathy after DIDT surgery
Physiotherapy after DIDT surgery (reference treatment)
assess the functionality of the knee
Using International Knee Documentation Committee Subjective Knee Form (IKDC) measured 6 months postoperative and referring to the last weeks.
Time frame: 6 months
Started Apr 2023 (actual). Primary completion is estimated for Apr 2024, 12 months after the start.
Of 25 interventional studies with no phase under Bone Diseases, half reached primary completion within 22 months of starting (the median), counting those still running; a quarter within 10 and three quarters within 54. This study's planned 12 months is below that.
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Ramsay Générale de Santé