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首页> 外文期刊>Open access Journal of Sports Medicine >Effect of tunnel placements on clinical and magnetic resonance imaging findings 2 years after anterior cruciate ligament reconstruction using the double-bundle technique
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Effect of tunnel placements on clinical and magnetic resonance imaging findings 2 years after anterior cruciate ligament reconstruction using the double-bundle technique

机译:双束技术重建前交叉韧带2年后隧道放置对临床和磁共振成像结果的影响

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Purpose: The purpose of the study reported here was to find out if the clinical and magnetic resonance imaging (MRI) findings of a reconstructed anterior cruciate ligament (ACL) have an association. Our hypothesis, which was based on the different functions of the ACL bundles, was that the visibility of the anteromedial graft would have an impact on anteroposterior stability, and the visibility of the posterolateral graft on rotational stability of the knee. Methods: This study is a level II, prospective clinical and MRI study (NCT02000258). The study involved 75 patients. One experienced orthopedic surgeon performed all double-bundle ACL reconstructions. Two independent examiners made the clinical examinations at 2-year follow-up: clinical examination of the knee; KT-1000, International Knee Documentation Committee and Lysholm knee evaluation scores; and International Knee Documentation Committee functional score. The MRI evaluations were made by two musculoskeletal radiologists separately, and the means of these measurements were used. Results: We found that the location of the graft in the tibia had an impact on the MRI visibility of the graft at 2-year follow-up. There were significantly more partially or totally invisible grafts if the insertion of the graft was more anterior in the tibia. No association was found between the clinical results and the graft locations. Conclusion: Anterior graft location in the tibia can cause graft invisibility in the MRI 2 years after ACL reconstruction, but this has no effect on the clinical recovery of the patient.
机译:目的:本文报道的研究目的是确定重建的前交叉韧带(ACL)的临床和磁共振成像(MRI)发现是否相关。我们的假设基于ACL束的不同功能,即前内侧移植物的可见性会影响前后稳定性,而后外侧移植物的可见性会影响膝盖的旋转稳定性。方法:本研究为II级,前瞻性临床和MRI研究(NCT02000258)。该研究涉及75名患者。一位经验丰富的骨科医生完成了所有双束ACL重建术。在2年的随访中,由两名独立的检查员进行了临床检查:膝关节的临床检查;膝关节的检查。 KT-1000,国际膝关节文献委员会和Lysholm膝关节评估评分;和国际膝关节文献委员会功能评分。两名骨骼肌肉放射科医生分别对MRI进行了评估,并使用了这些测量手段。结果:我们发现在2年的随访中,胫骨中移植物的位置对移植物的MRI可见性有影响。如果移植物的插入位置在胫骨中更靠前,则存在明显更多的部分或全部不可见的移植物。在临床结果和移植物位置之间未发现关联。结论:ACL重建后2年,在胫骨中的前部移植物位置可导致MRI中的移植物不可见,但这对患者的临床康复没有影响。

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