The relationship between graft intensity on MRI and tibial tunnel placement in anatomical double-bundle ACL reconstruction

European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie
Takanori TeraokaHiroaki Nakamura

Abstract

To determine whether the graft signal intensity of the anteromedial bundle (AMB) on MRI was related to the tibial tunnel placement, anterior-posterior (A-P) stability, and/or cyclops lesion formation following double-bundle (DB) anterior cruciate ligament (ACL) reconstruction. Between January 2010 and August 2016, 65 patients underwent arthroscopic DB-ACL reconstruction and were followed up for a minimum of 2 years. Follow-up included 1-week postoperative CT evaluation, 1-year postoperative MRI evaluation, and 2-year postoperative measurement of A-P instability using a KT-2000 arthrometer. Tibial tunnel placement and the location of Parson's knob were expressed as percentages. Patients were divided into two groups according to the graft signal intensity of the AMB on MRI: the high group (grades 2, 3; group H) and the low group (grade 1; group L). There were 23 knees in group H and 42 knees in group L. There was no difference between the two groups regarding the position of Parson's knob. The AMB placement in the tibial tunnel in group H was more anterior than that in group L. The incidence of a cyclops lesion was significantly greater in group H [13 cases (56.5%)] compared with group L [7 cases (16.7%); P = .05]. The arthrometr...Continue Reading

References

Jan 1, 1986·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·D AmielW H Akeson
May 1, 1982·The American Journal of Sports Medicine·J Lysholm, J Gillquist
Jan 1, 1995·The American Journal of Sports Medicine·S M HowellM A Taylor
Jan 1, 1993·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·J G LaneD Amiel
Oct 20, 1999·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·T MuellnerH Plenk
Mar 4, 2000·AJR. American Journal of Roentgenology·D M BradleyM F Dillingham
Sep 28, 2001·The American Journal of Sports Medicine·J J IrrgangK D Shelborne
Dec 6, 2001·The American Journal of Sports Medicine·M PećinaH I Pećina
Apr 9, 2008·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Harehiko TsukadaSatoshi Toh
Nov 21, 2009·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Jenny T BencardinoDonald J Rose
Dec 4, 2010·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Pisit LertwanichFreddie H Fu
Dec 4, 2010·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Takanori IriuchishimaFreddie H Fu
Dec 15, 2010·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Patrick SadoghiMartin F Fischmeister
Jan 20, 2011·Archives of Orthopaedic and Trauma Surgery·Koh HoteyaYasuaki Tokuhashi
Feb 5, 2011·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Rob P A JanssenSven U Scheffler
Oct 1, 2011·Skeletal Radiology·Tommi KiekaraAntti Paakkala
Apr 25, 2012·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Takanori IriuchishimaFreddie H Fu
Nov 8, 2012·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Tiago Lazzaretti FernandesArnaldo José Hernandez
Dec 29, 2012·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Yoshitsugu TakedaAkira Naruse
Jan 23, 2013·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·H Van der BrachtP Verdonk
Apr 11, 2013·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Kazuhisa HatayamaKenji Takagishi
Aug 29, 2013·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Rob P A Janssen, Sven U Scheffler
Feb 20, 2014·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Masataka FujiiNobuhiro Abe
Sep 23, 2014·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Joon Soo ParkJae Gyoon Kim
Jan 27, 2015·Skeletal Radiology·Claus SimpfendorferHakan Ilaslan
Dec 30, 2015·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Jae-Ang SimJong-Keun Seon

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