3D个体化术前规划辅助前交叉韧带翻移植物的选择及临床疗效的研究

注册号:

Registration number:

ChiCTR2500095925 

最近更新日期:

Date of Last Refreshed on:

2025-01-15 14:15:49 

注册时间:

Date of Registration:

2025-01-15 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

3D个体化术前规划辅助前交叉韧带翻移植物的选择及临床疗效的研究

Public title:

Anterior Cruciate Ligament Revision Guided by 3D Printed Preoperative Templating: Comparison of Outcomes between Bone-Patellar Tendon-Bone Autograft and Ligament Augmentation and Reconstruction System (LARS) Ligament

注册题目简写:

English Acronym:

研究课题的正式科学名称:

3D个体化术前规划辅助前交叉韧带翻移植物的选择及临床疗效的研究

Scientific title:

Anterior Cruciate Ligament Revision Guided by 3D Printed Preoperative Templating: Comparison of Outcomes between Bone-Patellar Tendon-Bone Autograft and Ligament Augmentation and Reconstruction System (LARS) Ligament

研究课题代号(代码):

Study subject ID:

在二级注册机构或其它机构的注册号:

The registration number of the Partner Registry or other register:

申请注册联系人:

陈光兴 

研究负责人:

陈光兴 

Applicant:

Guangxing Chen 

Study leader:

Guangxing Chen 

申请注册联系人电话:

Applicant telephone:

+86 18623108787

研究负责人电话:

Study leader's
telephone:

+86 23 6877306

申请注册联系人传真 :

Applicant Fax:

研究负责人传真:

Study leader's fax:

申请注册联系人电子邮件:

Applicant E-mail:

cgx7676@tmmu.edu.cn

研究负责人电子邮件:

Study leader's E-mail:

cgx7676@hotmail.com

申请单位网址(自愿提供):

Applicant website(voluntary supply):

研究负责人网址(自愿提供):

Study leader's website(voluntary supply):

申请注册联系人通讯地址:

重庆市沙坪坝区高滩岩正街29号

研究负责人通讯地址:

重庆市沙坪坝区高滩岩正街29号

Applicant address:

No 29 Gaotanyan Main Street Shapingba District Chongqing

Study leader's address:

No 29 Gaotanyan Main Street Shapingba District Chongqing

申请注册联系人邮政编码:

Applicant postcode:

研究负责人邮政编码:

Study leader's postcode:

申请人所在单位:

中国人民解放军陆军军医大学第一附属医院

Applicant's institution:

The First Affiliated Hospital of Army Military Medical University

研究负责人所在单位:

中国人民解放军陆军军医大学第一附属医院

Affiliation of the Leader:

The First Affiliated Hospital of Army Medical University

是否获伦理委员会批准:

Approved by ethic committee:

Yes

伦理委员会批件文号:

Approved No. of ethic committee:

(B)KY2024239

伦理委员会批件附件:

Approved file of Ethical Committee:

查看附件View

批准本研究的伦理委员会名称:

中国人民解放军陆军军医大学第一附属医院伦理委员会

Name of the ethic committee:

Ethics Committee of the First Affiliated Hospital of Army Medical University PLA

伦理委员会批准日期:

Date of approved by ethic committee:

2024-09-04 00:00:00

伦理委员会联系人:

贺莉

Contact Name of the ethic committee:

He Li

伦理委员会联系地址:

重庆市沙坪坝区高滩岩正街29号

Contact Address of the ethic committee:

No 29 Gaotanyan Main Street Shapingba District Chongqing

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 23 68754035

伦理委员会联系人邮箱:

Contact email of the ethic committee:

cqhl13@qq.com

研究实施负责(组长)单位:

中国人民解放军陆军军医大学第一附属医院

Primary sponsor:

The First Affiliated Hospital of Army Medical University

研究实施负责(组长)单位地址:

重庆市沙坪坝区高滩岩正街29号

Primary sponsor's address:

No 29 Gaotanyan Main Street Shapingba District Chongqing

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

重庆

市(区县):

Country:

China

Province:

Chongqing

City:

单位(医院):

中国人民解放军陆军军医大学第一附属医院

具体地址:

重庆市沙坪坝区高滩岩正街29号

Institution
hospital:

The First Affiliated Hospital of Army Medical University

Address:

No 29 Gaotanyan Main Street Shapingba District Chongqing

经费或物资来源:

重庆市卫生健康委医学科研项目

Source(s) of funding:

Medical research project of Chongqing Municipal Health Commission

研究疾病:

前交叉韧带断裂  

Target disease:

Rupture of the anterior cruciate ligament

研究疾病代码:

Target disease code:

研究类型:

观察性研究

Study type:

Observational study

研究所处阶段:

其它 

Study phase:

N/A

研究设计:

病例对照研究 

Study design:

Case-Control study 

研究目的:

个体化分析前交叉韧带翻修手前计划核心要素及比较人工韧带与自体骨-髌腱-骨(BTPB)作为移植物的临床疗效。  

Objectives of Study:

The key elements of the anterior cruciate ligament revision program were analyzed and the clinical efficacy of artificial ligament and autologous bone-patellar tendine-bone (BTPB) as grafts was compared.

药物成份或治疗方案详述:

 

Description for medicine or protocol of treatment in detail:

 

纳入标准:

Inclusion criteria

排除标准:

(1)合并膝关节多发韧带损伤; (2)合并患侧下肢骨折; (3)Outerbridge软骨分级Ⅲ级及以上软骨损伤面积超过1 cm2; (4)非第一次翻修手术; (5)初次重建骨隧道扩大或骨溶解无法完成一期翻修; (6)术前存在膝关节显著功能障碍,即>20°的伸直滞缺或屈曲<80°; (7)下肢力线异常冠状面>10°,矢状面胫骨平台后倾角>12°。

Exclusion criteria:

(1) multiple ligament injuries of the knee joint; (2) fracture of the affected lower extremity; (3) the cartilage injury area of Outerbridge grade Ⅲ and above was more than 1 cm2; (4) non-first revision surgery; (5) tunnel enlargement or osteolysis in the primary reconstruction could not complete the one-stage revision; (6) preoperative significant dysfunction of the knee joint, that is, extension retardation >20° or flexion <80°; (7) abnormal alignment of the lower extremity >10° on the coronal plane and >12° on the sagittal tibial slope.

研究实施时间:

Study execute time:

From 2025-01-17 00:00:00 To 2025-12-01 00:00:00  

征募观察对象时间:

Recruiting time:

From 2025-01-17 00:00:00 To 2025-05-01 00:00:00

干预措施:

Interventions:

组别:

自体骨-髌腱-骨组

样本量:

33

Group:

Bone-Patellar Tendon-Bone Autograft

Sample size:

干预措施:

不同移植物的选择

干预措施代码:

Intervention:

Selection of different grafts

Intervention code:

组别:

人工韧带组

样本量:

26

Group:

Ligament Augmentation and Reconstruction System (LARS) Ligament group

Sample size:

干预措施:

不同移植物的选择

干预措施代码:

Intervention:

Selection of different grafts

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

重庆 

市(区县):

 

Country:

China

Province:

Chongqing

City:

单位(医院):

中国人民解放军陆军军医大学第一附属医院 

单位级别:

三甲 

Institution
hospital:

The First Affiliated Hospital of Army Medical University

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

负重位胫骨前移距离

指标类型:

主要指标

Outcome:

anterior tibial translation (ATT) at weight-bearing position

Type:

Primary indicator

测量时间点:

术后2年

测量方法:

采用ATT测量全长下肢站立位x线片上胫骨相对于股骨髁的前移距离。以胫骨前、后皮质中点连接胫骨结节下、踝关节上方确定胫骨轴线。胫骨中轴线分别经股骨髁后缘和胫骨平台平行线。若股骨内、外髁不完全重叠,则取股骨内、外髁后缘中点。

Measure time point of outcome:

2 years after surgery

Measure method:

ATT was used to measure the anterior shift of the tibia relative to the femoral condyle in the standing lateral radiographic position of the full-length lower limb. The axis line of the tibial was determined by connecting the midpoint of the anterior and posterior cortex of the tibia under the tibial tubercle and above the ankle joint. Parallel lines of the medial axis of the tibia were made through the posterior edge of the femoral condyle and the tibial plateau, respectively. If the medial and

采集人体标本:

Collecting sample(s)
from participants:

标本中文名:

组织:

Sample Name:

None

Tissue:

人体标本去向

其它  

说明

Fate of sample:

0thers  

Note:

征募研究对象情况:

Recruiting status:

尚未开始

Not yet recruiting

年龄范围:

Participant age:

最小 Min age 18 years
最大 Max age 48 years

性别:

男女均可

Gender:

Both

随机方法(请说明由何人用什么方法产生随机序列):

根据患者初次骨隧道类型选择不同移植物来分组

Randomization Procedure (please state who generates the random number sequence and by what method):

Different grafts were selected according to the type of primary bone tunnel

是否公开试验完成后的统计结果:

Calculated Results after the Study Completed public access:

不公开/Private

盲法:

开放标签,对评估者隐藏分组

Blinding:

Open-label study with blinded-evaluators

是否共享原始数据:

IPD sharing

否No

共享原始数据的方式(说明:请填入公开原始数据日期和方式,如采用网络平台,需填该网络平台名称和网址):

网络平台;西南医院临床数据采集与管理系统 http://183.230.51.25:53365,在试验结束6个月内上传试验数据

The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url):

Network platform; Southwest Hospital clinical data acquisition and management system http://183.230.51.25:53365, trial data were uploaded within 6 months of the end of the trial

数据采集和管理(说明:数据采集和管理由两部分组成,一为病例记录表(Case Record Form, CRF),二为电子采集和管理系统(Electronic Data Capture, EDC),如ResMan即为一种基于互联网的EDC:

采用医院病案资料库电子病历系统及我科手术患者信息资料库进行筛选,收集前期随访量表测量结果及相关指标。

Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture:

The electronic medical record system of the hospital medical record database and the information database of surgical patients in our department were used for screening, and the results of the previous follow-up scale and related indicators were collected.

数据与安全监察委员会:

Data and Safety Monitoring Committee:

无/No

注册人:

Name of Registration:

 2025-01-15 14:15:40