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CTRI Number  CTRI/2024/07/070607 [Registered on: 15/07/2024] Trial Registered Prospectively
Last Modified On: 22/10/2024
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Prospective, descriptive observational study 
Study Design  Other 
Public Title of Study   Comparing Peroneus longus graft measurements with patients measurements in ACL reconstruction surgery  
Scientific Title of Study   Preoperative anthropometric correlation of peroneus longus graft in arthroscopic ACL reconstruction: A prospective study. 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Cyrus J Lalkaka 
Designation  Junior resident  
Affiliation  Kasturba Hospital, MAHE, Manipal  
Address  Department of Orthopaedics, Kasturba Medical College, MAHE, Manipal.

Udupi
KARNATAKA
576104
India 
Phone  9930416319  
Fax    
Email  cyruslalkaka3@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Kiran KV Acharya 
Designation  Professor and Head of Department  
Affiliation  Kasturba Hospital, MAHE, Manipal  
Address  Department of Orthopaedics, Kasturba Medical College, MAHE, Manipal.

Udupi
KARNATAKA
576104
India 
Phone  9481517648  
Fax    
Email  kiran.acharya@manipal.edu  
 
Details of Contact Person
Public Query
 
Name  Dr Cyrus J Lalkaka 
Designation  Junior resident  
Affiliation  Kasturba Hospital, MAHE, Manipal  
Address  Department of Orthopaedics, Kasturba Medical College, MAHE, Manipal.

Udupi
KARNATAKA
576104
India 
Phone  9930416319  
Fax    
Email  cyruslalkaka3@gmail.com  
 
Source of Monetary or Material Support  
Department of Orthopaedics, KMC, Manipal, Tiger Circle Road, Madhav Nagar, Eshwar Nagar, Manipal, Karnataka, India, 576104. 
 
Primary Sponsor  
Name  Dr Cyrus J Lalkaka 
Address  Department of Orthopaedics, Kasturba Medical College, MAHE, Manipal, 576104  
Type of Sponsor  Other [Self] 
 
Details of Secondary Sponsor  
Name  Address 
Dr Kiran KV Acharya  Department of Orthopaedics, Kasturba Medical College, MAHE, Manipal, 576104  
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Cyrus J Lalkaka  Kasturba Hospital  Department of Orthopaedics, Room No.4, Madhav Nagar, Manipal, Karnataka 576104
Udupi
KARNATAKA 
9930416319

cyruslalkaka3@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Kasturba Medical College and Kasturba Hospital Institutional Ethics Committee - 2 (Student Research)  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M236||Other spontaneous disruption of ligament(s) of knee,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  NIL  NIL 
Comparator Agent  NIL  NIL 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  99.00 Year(s)
Gender  Both 
Details  1. Arthroscopic ACL reconstruction using Peroneus longus graft
2. Age group 18 years and above
3. ACL injuries including multi ligamentous injuries
 
 
ExclusionCriteria 
Details  1. Pre-existing or associated pathology of the knee joint
2. Revision surgery
3. Previous surgeries around the knee
4. Patients on steroid or hormonal therapy
5. ACL avulsion fractures
6. Associated proximal tibia fractures
7. Deformity around the knee
8. Premature amputation of PL graft (muscle should be visible at the end of tendon after harvesting)
9. Diseases/syndromes which affect anthropometry eg. Marfans syndrome, dwarfism, gigantism, etc
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To potentially predict the peroneus longus graft dimensions using pre-operative anthropometric measurements in arthroscopic ACL reconstruction
 
Baseline 
 
Secondary Outcome  
Outcome  TimePoints 
Preoperative decision for requirement of augmentation of graft   Baseline 
 
Target Sample Size   Total Sample Size="113"
Sample Size from India="113" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   19/07/2024 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="2"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Open to Recruitment 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - YES
  1. What data in particular will be shared?
    Response - Individual participant data that underlie the results reported in this article, after de-identification (text, tables, figures, and appendices).

  2. What additional supporting information will be shared?
    Response -  Study Protocol
    Response -  Statistical Analysis Plan
    Response - Informed Consent Form
    Response -  Analytic Code

  3. Who will be able to view these files?
    Response - Researchers who provide a methodologically sound proposal.

  4. For what types of analyses will this data be available?
    Response - For individual participant data meta-analysis.

  5. By what mechanism will data be made available?
    Response - Proposals should be directed to [cyruslalkaka3@gmail.com].

  6. For how long will this data be available start date provided 10-07-2024 and end date provided 10-07-2034?
    Response - Immediately following publication. No end date.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - NIL
Brief Summary  
Title of the project: Preoperative anthropometric correlation of peroneus longus graft in arthroscopic ACL reconstruction: A prospective study.

Type of Study: Single center prospective longitudinal descriptive study

Aims & objectives: 
AIM: To potentially predict the peroneus longus graft dimensions using pre-operative anthropometric measurements in arthroscopic ACL reconstruction 
OBJECTIVES: - To measure and document patient characteristics such as height, weight, BMI, leg length and calf circumference 
- To assess correlation between anthropometric measurements and peroneus longus graft measurements 
- To use preoperative anthropometric values to predict need for augmentation of graft

Departments involved: Department of Orthopaedics, Kasturba Medical College, Manipal

Study period: from July 2024 to May 2026

Sample size: 113 
Calculated using Cochran’s sample size formula: n= z ² x p x (1-p) e² p=population size, e=margin of error, z=z value from z table 
Calculated based on the study done by Rhatomy et al [14] Using prvalance= 8%, with 95% CI, and precision level of 5%, the calculation: (1.96)² x 0.08 x (0.92)/(0.05)² = Sample size = 113

Methodology: 
The anthropometric measurements such as height, weight, body mass index, calf circumference and leg length (Medial joint line of knee to medial malleolus) will be preoperatively assessed. The length of peroneus longus will be measured intraoperatively immediately after harvesting. The doubled/ tripled/ quadrupled length and thickness of the peroneus longus graft will also be measured intraoperatively after preparing and tensioning the graft. The grafts will be taken by a single surgeon from the ipsilateral limb using a standard vertical supra malleolar incision at the distal end of the peroneus longus muscle and harvested in an identical fashion. The grafts will be measured intraoperatively by standard metal scales after removing muscle fibers and final trimmings of the tendon. The doubled, tripled or quadrupled graft will be passed through the Smith and Nephew sizing cylinder of 0.5mm increments till the minimum diameter that allows smooth passage of the graft which is taken as the thickness of the quadrupled graft. The femoral tunnel will be the same thickness as that of the graft. Both femoral and tibial fixation techniques will be identical in all procedures. The data will be compiled, scrutinized and evaluated to reach a conclusion regarding the relationship between peroneus longus graft dimensions and the patient’s anthropometric values. 
All these procedures are part of standard of care. No additional procedures have been included in the study.
 
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