MRI signs of anterior cruciate ligament graft restructuring in bone canal

Authors

  • Sergey Krasnoperov Zaporizhzhia State Medical University. Ukraine, Ukraine
  • Maksim Golovakha Zaporizhzhia State Medical University. Ukraine, Ukraine https://orcid.org/0000-0003-2835-9333
  • Oleksii Sheveliev Medical centre «Medicum», Zaporozhye. Ukraine, Ukraine

DOI:

https://doi.org/10.15674/0030-59872018134-40

Keywords:

anterior cruciate ligament, graft, MRI

Abstract

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.

Author Biographies

Sergey Krasnoperov, Zaporizhzhia State Medical University. Ukraine

MD, PhD in Orthopaedics and Traumatology 

 

Maksim Golovakha, Zaporizhzhia State Medical University. Ukraine

MD, Prof. in Orthopaedics and Traumatology 

 

Oleksii Sheveliev, Medical centre «Medicum», Zaporozhye. Ukraine

 

 

References

  1. 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: https://doi.org/10.15674/0030-59872017139-45
  2. Orljanskij, V. (2016). Manual of knee arthroscopy (2th ed.). Zaporozhye: Prosvita. ISBN 978-966-653-412-3.
  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: https://doi.org/10.15674/0030-598720163115-122
  4. Bolchovitin P. (2000). Surgical treatment of antero-medial instability of knee joint. Orthopaedics, Traumatology and Prosthetics, 3,108–110.
  5. 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: https://doi.org/10.1177/2325967116681724
  6. 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: https://doi.org/10.5312/wjo.v7.i9.592
  7. 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: https://doi.org/10.5312/wjo.v7.i10.638
  8. 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: https://doi.org/10.1007/s00167-013-2634-5
  9. 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: https://doi.org/10.1177/0363546512443050
  10. 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: https://doi.org/10.1016/j.arthro.2008.07.016
  11. 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: https://doi.org/10.1177/2325967117719695
  12. 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: https://doi.org/10.1007/s00167-009-0762-8
  13. 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: https://doi.org/10.1016/j.eats.2014.08.007
  14. 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: https://doi.org/10.1177/0363546510361952

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How to Cite

Krasnoperov, S., Golovakha, M., & Sheveliev, O. (2023). MRI signs of anterior cruciate ligament graft restructuring in bone canal. ORTHOPAEDICS TRAUMATOLOGY and PROSTHETICS, (1), 34–40. https://doi.org/10.15674/0030-59872018134-40

Issue

No. 1 (2018)

Section

ORIGINAL ARTICLES

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Copyright (c) 2018 Sergey Krasnoperov, Maksym Golovaha, Oleksii Sheveliev

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