ClinicalTrials.gg
RecruitingNCT07762989Updated Oct 9, 2026

Donor Ankle Sensorimotor Recovery After ACL Reconstruction With a Peroneus Longus Tendon Autograft

An observational study in Anterior Cruciate Ligament Injury, Anterior Cruciate Ligament Reconstruction and Donor Site Complication, sponsored by Gazi University. Recruiting at 1 site in Turkey (Türkiye). Open to participants aged 18 Years to 55 Years. Per ClinicalTrials.gov, last updated 2026-10-09.

Sponsored by Gazi University · Observational

From the registry’s dates

  • Started Aug 2026; still recruiting 2 months later.
Updated Oct 9, 2026Now RecruitingSite recruiting status changedGo to Updates ↓

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Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
20
Ages
18 Years to 55 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-15

Among 43 studies in Anterior Cruciate Ligament Injuries with a site in Turkey — 18 open to participants now, 19 under way, none of them phase 3. Anterior Cruciate Ligament Injuries · Turkey.

Planned enrollment
16th of 16
20 · median 61
Started
2026
with 8 others
Observational
16 of 43
9 open now
Primary completion
2027-08
later than 16 of 18 live
Registered
41st of 43
by date
Lead sponsor
2 of 43
Gazi University

Among the 43 studies in Anterior Cruciate Ligament Injuries with a site in Turkey, this one is the 16th largest by planned enrollment of the 16 observational ones that give a count, is one of 9 that started in 2026, is one of 16 observational ones, reaches primary completion later than 16 of the 18 other live ones, and was the 41st registered.

Anterior Cruciate Ligament Injuries

625 studies on the registry are indexed under Anterior Cruciate Ligament Injuries; 192 are open to participants now.

Browse Anterior Cruciate Ligament Injuries studies →

Open to participants now

18 of the 43 studies in Anterior Cruciate Ligament Injuries with a site in Turkey are open now. Recruiting first, the newest first:

12 more — sign in →

All 18 open studies →

A study can be open while its sites in Turkey have not opened yet or have stopped. Only those recruiting at a site in Turkey →

Who these studies take

Of the 122 Anterior Cruciate Ligament Injuries studies recruiting now, 27 (22%) set no upper age limit and 92 (75%) stop at 75 or younger; 46 take children under 18; 21 take healthy volunteers.

This study: 18 Years to 55 Years · all sexes · no healthy volunteers.

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02

Study summary

This prospective longitudinal observational cohort study will characterize recovery of donor-ankle sensorimotor function in adults who have undergone primary anterior cruciate ligament reconstruction using a peroneus longus tendon autograft. Twenty participants aged 18 to 55 years will be evaluated at postoperative 6-8 weeks, 3 months, and 6 months. The donor limb and the contralateral non-donor limb will be compared using surface electromyography of the peroneus longus, force-platform measures of postural control, inertial-sensor gait analysis, active ankle joint-position sense testing, and clinical and patient-reported foot and ankle function measures. The study does not assign the surgical procedure or rehabilitation treatment.

Read the detailed description

Peroneus longus tendon autograft is used as an alternative graft source for anterior cruciate ligament reconstruction, but the longitudinal course of donor-site sensorimotor recovery has not been sufficiently described with objective measures. This study is designed to examine within-participant changes over time and differences between the donor and contralateral non-donor limbs.

Eligible participants who underwent primary unilateral anterior cruciate ligament reconstruction with a peroneus longus tendon autograft at Dr. Abdurrahman Yurtaslan Ankara Oncology Training and Research Hospital or Halil Şıvgın Çubuk State Hospital and who are referred to the Sports Health Unit of Gazi University will be followed at postoperative 6-8 weeks, 3 months, and 6 months. No graft type, surgery, or rehabilitation intervention is assigned by the investigators.

At each assessment, peroneus longus activation will be recorded during single-leg heel-rise and medially inclined heel-rise tasks using surface electromyography and normalized to a session-specific maximal voluntary isometric contraction. Postural control will be assessed with KFORCE Plates during double-leg and single-leg balance tasks. Spatiotemporal gait and pelvic kinematics will be recorded with the G-Walk inertial sensor system. Active ankle joint-position sense will be assessed on a Cybex NORM dynamometer using a 15-degree eversion target. Foot and ankle function will be assessed using the Foot and Ankle Ability Measure.

The primary analysis will examine time, limb, and time-by-limb effects across the three postoperative assessments. Parametric data will be analyzed using two-way repeated-measures analysis of variance, with nonparametric alternatives used when assumptions are not met. The planned enrollment is 20 participants, allowing for approximately 20% attrition from the minimum required sample of 16 completers.

03

Conditions studied

  • Anterior Cruciate Ligament Injury
  • Anterior Cruciate Ligament Reconstruction
  • Donor Site Complication

Keywords

  • peroneus longus tendon autograft
  • donor ankle
  • sensorimotor function
  • surface electromyography
  • postural control
  • proprioception
  • gait analysis
04

Who can participate

Ages eligible
18 Years to 55 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Adults aged 18 to 55 years who have undergone primary unilateral anterior cruciate ligament reconstruction using a peroneus longus tendon autograft as part of routine clinical care and are referred to the Sports Health Unit, Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Gazi University, for postoperative rehabilitation and functional assessment. Eligible participants will be enrolled consecutively during the study period.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Age 18 to 55 years.
  • Unilateral primary anterior cruciate ligament tear confirmed by clinical examination and magnetic resonance imaging.
  • Primary anterior cruciate ligament reconstruction performed using a peroneus longus tendon autograft.
  • Able and willing to attend the postoperative assessments at 6-8 weeks, 3 months, and 6 months.
  • Written provided before study participation.

Exclusion criteria

Exclusion Criteria:

  • Multiligament knee injury.
  • Previous surgery on the index knee or donor ankle.
  • Pre-existing ankle instability or major foot or ankle pathology.
  • Neurological or neuromuscular disease.
  • Inflammatory or systemic disease that may affect the assessments.
  • Major lower-extremity deformity that may affect the assessments.
  • Unable to complete the postoperative rehabilitation program or scheduled follow-up assessments.
Terms in these criteria, in plain language(1)

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
20 participants (estimated)
Patient registry
No

Groups and cohorts

  • Peroneus Longus Tendon Autograft ACLR Cohort

    Adults after primary unilateral ACL reconstruction using a peroneus longus tendon autograft. Participants will undergo observational assessments at postoperative 6-8 weeks, 3 months, and 6 months. Donor-limb measures will be compared with measurements from the contralateral non-donor limb. No intervention is assigned by the study.

    Procedure: Anterior Cruciate Ligament Reconstruction Using a Peroneus Longus Tendon Autograft

Interventions

  • ProcedureAnterior Cruciate Ligament Reconstruction Using a Peroneus Longus Tendon Autograft

    Participants undergo primary anterior cruciate ligament reconstruction using a peroneus longus tendon autograft as part of their routine clinical care. The graft choice and surgical procedure are determined by the treating orthopedic surgeon independently of study participation. The study does not assign or modify the graft choice, surgical technique, or postoperative rehabilitation. Participants receive routine postoperative rehabilitation according to their clinical needs, while donor-ankle sensorimotor recovery is assessed prospectively at 6-8 weeks, 3 months, and 6 months after surgery.

06

What researchers measure

Primary outcomes

  1. Change in Mean Center of Pressure Velocity During Single-Leg Balance

    Mean center of pressure (CoP) velocity during a 10-second single-leg stance, assessed separately with eyes open and eyes closed on KFORCE Plates. Each limb will be tested in three trials, and the mean for each condition will be used. Values are expressed in millimeters per second (mm/s); lower values indicate less postural sway. Change from the postoperative 6-8-week assessment to 3 and 6 months and donor-versus-contralateral limb differences will be evaluated.

    Time frame: Postoperative 6-8 weeks, 3 months, and 6 months

Secondary outcomes

  1. Change in CoP Path Length During Single-Leg Balance

    Total CoP path length during a 10-second single-leg stance with eyes open and eyes closed on KFORCE Plates, averaged across three valid trials for each limb and condition. Unit: millimeters (mm); lower values indicate less sway.

    Time frame: Postoperative 6-8 weeks, 3 months, and 6 months

  2. Change in CoP Ellipse Area During Single-Leg Balance

    Ellipse area of CoP excursion during a 10-second single-leg stance with eyes open and eyes closed on KFORCE Plates, averaged across three valid trials. Unit: square millimeters (mm²); lower values indicate less sway area.

    Time frame: Postoperative 6-8 weeks, 3 months, and 6 months

  3. Change in Mean CoP Velocity During Double-Leg Balance

    Mean CoP velocity during 30-second double-leg quiet stance with eyes open and eyes closed on KFORCE Plates, averaged across three trials per condition. Unit: millimeters per second (mm/s).

    Time frame: Postoperative 6-8 weeks, 3 months, and 6 months

  4. Change in CoP Path Length During Double-Leg Balance

    Total CoP path length during 30-second double-leg quiet stance with eyes open and eyes closed on KFORCE Plates, averaged across three trials per condition. Unit: millimeters (mm).

    Time frame: Postoperative 6-8 weeks, 3 months, and 6 months

  5. Change in CoP Ellipse Area During Double-Leg Balance

    Ellipse area of CoP excursion during 30-second double-leg quiet stance with eyes open and eyes closed on KFORCE Plates, averaged across three trials per condition. Unit: square millimeters (mm²).

    Time frame: Postoperative 6-8 weeks, 3 months, and 6 months

  6. Change in Mean Normalized Peroneus Longus RMS Amplitude During Single-Leg Heel Rise

    Mean root-mean-square surface EMG amplitude of the peroneus longus during the concentric, isometric, and eccentric phases of a metronome-paced single-leg heel rise. Each phase is reported separately as a percentage of session-specific maximal voluntary isometric contraction (%MVIC), averaged across three repetitions for each limb.

    Time frame: Postoperative 6-8 weeks, 3 months, and 6 months

  7. Change in Peak Normalized Peroneus Longus RMS Amplitude During Single-Leg Heel Rise

    Peak root-mean-square surface EMG amplitude during the concentric, isometric, and eccentric phases of a single-leg heel rise. Each phase is reported separately as %MVIC and averaged across three repetitions for each limb.

    Time frame: Postoperative 6-8 weeks, 3 months, and 6 months

  8. Change in Mean Normalized Peroneus Longus RMS Amplitude During Incline Heel Rise

    Mean root-mean-square surface EMG amplitude during the concentric, isometric, and eccentric phases of a single-leg heel rise on a rigid platform with approximately 30 degrees of medial inclination. Each phase is reported separately as %MVIC and averaged across three repetitions for each limb.

    Time frame: Postoperative 6-8 weeks, 3 months, and 6 months

  9. Change in Peak Normalized Peroneus Longus RMS Amplitude During Incline Heel Rise

    Peak root-mean-square surface EMG amplitude during the concentric, isometric, and eccentric phases of the medially inclined single-leg heel-rise task. Each phase is reported separately as %MVIC and averaged across three repetitions for each limb.

    Time frame: Postoperative 6-8 weeks, 3 months, and 6 months

  10. Change in Ankle Joint Position Sense Absolute Error

    Absolute difference between the 15-degree eversion target and the angle reproduced by the participant during active joint-position sense testing with eyes closed on a Cybex NORM dynamometer. Each limb will be evaluated separately. Unit: degrees (°); lower values indicate greater position-sense accuracy.

    Time frame: Postoperative 6-8 weeks, 3 months, and 6 months

  11. Change in Self-Selected Gait Speed

    Walking speed recorded with the G-Walk inertial sensor during self-selected walking over an approximately 10-meter walkway. The middle portion of the walk will be analyzed and three trials will be averaged. Unit: meters per second (m/s).

    Time frame: Postoperative 6-8 weeks, 3 months, and 6 months

  12. Change in Gait Cadence

    Cadence recorded with the G-Walk inertial sensor during self-selected walking, averaged across three trials. Unit: steps per minute.

    Time frame: Postoperative 6-8 weeks, 3 months, and 6 months

  13. Change in Step Length

    Step length recorded with the G-Walk inertial sensor during self-selected walking, averaged across three trials. Unit: meters (m).

    Time frame: Postoperative 6-8 weeks, 3 months, and 6 months

  14. Change in Gait Symmetry Index

    Between-limb gait symmetry index derived from G-Walk spatiotemporal data. Unit: percent (%); values closer to the device-defined symmetry reference indicate greater symmetry.

    Time frame: Postoperative 6-8 weeks, 3 months, and 6 months

  15. Change in Pelvic Tilt During Gait

    Sagittal-plane pelvic tilt measured by the G-Walk inertial sensor during self-selected walking, averaged across three trials. Unit: degrees (°).

    Time frame: Postoperative 6-8 weeks, 3 months, and 6 months

  16. Change in Pelvic Obliquity During Gait

    Frontal-plane pelvic obliquity measured by the G-Walk inertial sensor during self-selected walking, averaged across three trials. Unit: degrees (°).

    Time frame: Postoperative 6-8 weeks, 3 months, and 6 months

  17. Change in FAAM Activities of Daily Living Subscale

    Foot and Ankle Ability Measure Activities of Daily Living subscale, transformed to a 0%-100% score. Higher percentages indicate better self-reported function.

    Time frame: Preoperative, Postoperative 6-8 weeks, 3 months, and 6 months

  18. Change in FAAM Sports Subscale

    Foot and Ankle Ability Measure Sports subscale, transformed to a 0%-100% score. Higher percentages indicate better self-reported sport-related function.

    Time frame: Preoperative, Postoperative 6-8 weeks, 3 months, and 6 months

07

Study locations

1 of 1 sites recruiting
  • Gazi University Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Sports Health Unit
    Çankaya, Ankara 06490, Turkey (Türkiye)
    Recruiting
08

References and documents

Individual participant data

Plan to share: No — No individual participant data sharing plan has been specified for this study.

No publications or documents are linked to this record.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Aug 2026 (actual). Primary completion is estimated for Aug 2027, 11 months after the start.

Of 73 non-industry observational studies under Anterior Cruciate Ligament Injuries, half reached primary completion within 36 months of starting (the median), counting those still running; a quarter within 12 and three quarters within 167. This study's planned 11 months is below that.

Counting every sponsor, half of 82 studies reached it within 37 months; a quarter within 13 and three quarters within 76.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 10, 2026
First posted
Aug 13, 2026
StartActual
Aug 22, 2026
Primary completionEst.
Aug 1, 2027
CompletionEst.
Oct 1, 2027
Last update
Oct 9, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Status
Not yet recruiting→Recruiting
changed Oct 9, 2026
Sites
Gazi University Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Sports Health Unit is now Recruiting
Oct 9, 2026
Show all 1 update
  1. Oct 9, 2026
    Not yet recruiting→Recruiting
    Gazi University Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Sports Health Unit is now Recruiting
    + 2 other changes: verification date and date precision

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07762989
Lead sponsor
Gazi University
Responsible party
Dudu Özdemir (PhD Candidate, Department of Physiotherapy and Rehabilitation, Gazi University) — Principal investigator
First posted
Aug 13, 2026
Start date
Aug 22, 2026
Primary completion
Aug 1, 2027 (estimated)
Completion
Oct 1, 2027 (estimated)
Last update
Oct 9, 2026

Study contacts

Dudu Ozdemir Can, Msc
Contact
duduozdemir@gazi.edu.tr
+90 5534448492
Dudu Ozdemir Can, Msc
principal investigator · Gazi University
Nihan Karatas, Prof. Dr.
study director · Gazi University

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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