MRI signs of anterior cruciate ligament graft restructuring in bone canal

Authors

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 

krasnoperovserg@gmail.com

Maksim Golovakha

Zaporizhzhia State Medical University. Ukraine

MD, Prof. in Orthopaedics and Traumatology 

golovaha@ukr.net

Oleksii Sheveliev

Medical centre «Medicum», Zaporozhye. Ukraine

doc1.medicum@gmail.com

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Published

2018-04-02

How to Cite

Krasnoperov, S., Golovakha, M., & Sheveliev, O. (2018). 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

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Section

ORIGINAL ARTICLES

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