MRI signs of anterior cruciate ligament graft restructuring in bone canal
Keywords:anterior cruciate ligament, graft, MRI
One of the reason for succeed anterior cruciate ligament reconstruction is the process of graft remodeling on the border «tendon-bone» in the bone canal. This factor can influence on the mechanical stability of the knee joint after anterior cruciate ligament reconstruction and can determine the rehabilitation exercises.
Objective: to work out MRI criteria of graft reconstruction in bone canals.
Methods: we included 90 patients, who were divided into two groups: the 1st o ne ( 47) w e used the technique «all-inside», in the 2nd group (43) — cross transtibial drilling technique. In 8 patients MRI was made.
Results: we suggested the next criteria for the assessment of graft reconstruction in femoral and tibia bone canals: 1) signs of reconstruction on the border «tendon-bone»; 2) synovial fluid in the bone canals; 3) femoral and tibia bone marrow edema. Number of patients with the 1st stage (full graft reconstruction) without synovial fluid in bone canal increased in follow up period 3 to 9 months. Number of patients without bone marrow edema increased in follow up 3 to 12 months (35,6; 54,4; 74,5 and 84,5 %). It was shown in 6 months that in the 1st group there was a prevalence of patients (60 %) with the 1st stage of reconstruction compare with the 2nd group (42,2 %). As for the presence of synovial fluid in bone canal we observed a reliable difference in 3 months — 75,5 % in the 1st group compare with 78,9 % — in the 2nd.Conclusions: the dynamic of the graft reconstruction gets on the top till 9 months after surgery and after remains unchanged. The technique «all-inside» contributes faster and more qualitative graft reconstruction due to fewer trauma to the proximal part of the tibia and absence of screws in the tibia canal.
Krasnoperov, S., Golovakha, M., & Shalomeev, V. (2017). Mechanical properties of cortical suspensory devices for anterior cruciate ligament reconstruction. Orthopaedics, Traumatology and Prosthetics, 1, 39-45. doi:http://dx.doi.org/10.15674/0030-59872017139-45
Orljanskij, V. (2016). Manual of knee arthroscopy (2th ed.). Zaporozhye: Prosvita. ISBN 978-966-653-412-3.
Korzh, M., Romanenko, K., Ashukina, N., & Prozorovsky, D. (2016). Structural and functional properties of articular cartilage under various loading modes (literature review). Orthopaedics, Traumatology and Prosthetics, 3, 115-122. doi:http://dx.doi.org/10.15674/0030-598720163115-122
Bolchovitin P. (2000). Surgical treatment of antero-medial instability of knee joint. Orthopaedics, Traumatology and Prosthetics, 3,108–110.
Dallo, I., Chahla, J., Mitchell, J. J., Pascual-Garrido, C., Feagin, J. A., & LaPrade, R. F. (2017). Biologic Approaches for the Treatment of Partial Tears of the Anterior Cruciate Ligament. Orthopaedic Journal of Sports Medicine, 5(1), 232596711668172. doi:10.1177/2325967116681724
Di Matteo, B., Loibl, M., Andriolo, L., Filardo, G., Zellner, J., Koch, M., & Angele, P. (2016). Biologic agents for anterior cruciate ligament healing: A systematic review. World Journal of Orthopedics, 7(9), 592. doi:10.5312/wjo.v7.i9.592
Grassi, A., Bailey, J. R., Signorelli, C., Carbone, G., Wakam, A. T., Lucidi, G. A., & Zaffagnini, S. (2016). Magnetic resonance imaging after anterior cruciate ligament reconstruction: A practical guide. World Journal of Orthopedics, 7(10), 638. doi:10.5312/wjo.v7.i10.638
Janssen, R. P., & Scheffler, S. U. (2014). Remodeling of hamstring tendon grafts after acl reconstruction. anterior cruciate ligament reconstruction. Knee Surgery, Sports Traumatology, Arthroscopy, 22(9). doi: 10.1007/s00167-013-2634-5
Li, H., Tao, H., Cho, S., Chen, S., Yao, Z., & Chen, S. (2012). Difference in graft maturity of the reconstructed anterior cruciate ligament 2 years postoperatively. The American Journal of Sports Medicine, 40(7), 1519-1526. doi:10.1177/0363546512443050
Orrego, M., Larrain, C., Rosales, J., Valenzuela, L., Matas, J., Durruty, J., Sudy, H., & Mardones, R. (2008). Effects of platelet concentrate and a bone plug on the healing of hamstring tendons in a bone tunnel. Arthroscopy, 24(12), 1373–1380. doi: 10.1016/j.arthro.2008.07.016
Rose, M., & Crawford, D. (2017). Allograft maturation after reconstruction of the anterior cruciate ligament is dependent on graft parameters in the sagittal plane. Orthopaedic Journal of Sports Medicine, 5(8), 232596711771969. doi:10.1177/2325967117719695
Silva, A., & Sampaio, R. (2009). Anatomic ACL reconstruction: does the platelet-rich plasma accelerate tendon healing? Knee Surgery, Sports Traumatology, Arthroscopy, 17(6), 676-682. doi:10.1007/s00167-009-0762-8
Sonnery-Cottet, B., Freychet, B., Murphy, C. G., Pupim, B. H., & Thaunat, M. (2014). Anterior cruciate ligament reconstruction and preservation: the single–anteromedial bundle biological augmentation (SAMBBA) technique. Arthroscopy Techniques, 3(6), e689-e693. doi:10.1016/j.eats.2014.08.007
Stener, S., Ejerhed, L., Sernert, N., Laxdal, G., Rostgård-Christensen, L., & Kartus, J. (2010). A long-term, prospective, randomized study comparing biodegradable and metal interference screws in anterior cruciate ligament reconstruction surgery. The American Journal of Sports Medicine, 38(8), 1598-1605. doi:10.1177/0363546510361952
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Copyright (c) 2018 Sergey Krasnoperov, Maksym Golovaha, Oleksii Sheveliev
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