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Skeletal Radiology
Published in: Skeletal Radiology 5/2018

01-05-2018 | Review Article

Arthroscopic primary repair of the anterior cruciate ligament: what the radiologist needs to know

Authors: Steven P. Daniels, Jelle P. van der List, J. Jacob Kazam, Gregory S. DiFelice

Published in: Skeletal Radiology | Issue 5/2018

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Abstract

Recently, there has been a renewed interest in primary repair of proximal anterior cruciate ligament (ACL) tears. Magnetic resonance imaging (MRI) plays an important role in preoperative patient selection and in postoperative ligament assessment. Knowledge of the imaging factors that make patients candidates for primary ACL repair, namely proximal tear location and good tissue quality, can help radiologists provide information that is meaningful for surgical decision making. Furthermore, an understanding of the surgical techniques can prevent misinterpretation of the postoperative MRI. This article reviews preoperative MRI characterization of ACL injuries, techniques of arthroscopic primary ACL repair surgery and examples of postoperative MRI findings.
Literature
1.
Sanders TL, Maradit Kremers H, Bryan AJ, et al. Incidence of anterior cruciate ligament tears and reconstruction: a 21-year population-based study. Am J Sports Med. 2016;44(6):1502–7.CrossRefPubMed
2.
Hawkins RJ, Misamore GW, Merritt TR. Followup of the acute nonoperated isolated anterior cruciate ligament tear. Am J Sports Med. 1984;14(3):205–10.CrossRef
3.
Sanders TL, Pareek A, Kremers HM, et al. Long-term follow-up of isolated ACL tears treated without ligament reconstruction. Knee Surgery, Sport Traumatol Arthrosc. 2016:1–8.
4.
Kruse LM, Gray B, Wright RW. Rehabilitation after anterior cruciate ligament reconstruction: a systematic review. J Bone Joint Surg Am. 2012;94(19):1737–48.CrossRefPubMedPubMedCentral
5.
Finsterbush A, Frankl U, Matan Y, Mann G. Secondary damage to the knee after isolated injury of the anterior cruciate ligament. Am J Sports Med. 1990;18(5):475–9.CrossRefPubMed
6.
Davarinos N, O’Neill BJ, Curtin W. A brief history of anterior cruciate ligament reconstruction. Adv Orthop Surg. 2014;2014:1–6.CrossRef
7.
Murrell G, Maddali S, Horovitz L, Oakley SP, Warren RF. The effects of time course after anterior cruciate ligament injury in correlation with meniscal and cartilage loss. Am J Sports Med. 2001;29(1):9–14.CrossRefPubMed
8.
9.
Warren RF. Primary repair of the anterior cruciate ligament. Clin Orthop Relat Res. 1983;172:65–70.
10.
Marshall JL, Warren RF, Wickiewicz TL. Primary surgical treatment of anterior cruciate ligament lesions. Am J Sports Med. 1982;10(2):103–7.CrossRefPubMed
11.
Sherman MF, Bonamo JR. Primary repair of the anterior cruciate ligament. Clin Sports Med. 1988;7(4):739–50.PubMed
12.
Feagin JAJ, Curl WW. Isolated tear of the anterior cruciate ligament: 5-year follow-up study. Am J Sports Med. 1976;4(3):95–100.CrossRefPubMed
13.
Sherman MF, Lieber L, Bonamo JR, Podesta L, Reiter I. The long-term followup of primary anterior cruciate ligament repair. Defining a rationale for augmentation. Am J Sports Med. 1991;19(3):243–55.CrossRefPubMed
14.
Engebretsen L, Benum P, Sundalsvoll S. Primary suture of the anterior cruciate ligament: a 6-year follow-up of 74 cases. Acta Orthop Scand. 1989;60(5):561–4.CrossRefPubMed
15.
Harilainen A, Myllynen P. Treatment of fresh tears of the anterior cruciate ligament: a comparison of primary suture and augmentation with carbon fibre. Injury. 1987;18(6):396–400.CrossRefPubMed
16.
Jones KG. Results of use of the central one-third of the patellar ligament to compensate for anterior cruciate ligament deficiency. Clin Orthop Relat Res. 1980;147:39–44.
17.
Hefti F, Gachter A, Jenny H, Morscher E. Replacement of the anterior cruciate ligament: a comparative study of four different methods of reconstruction. Arch Orthop Trauma Surg. 1982;100(2):83–94.CrossRefPubMed
18.
van der List JP, DiFelice GS. Role of tear location on outcomes of open primary repair of the anterior cruciate ligament: a systematic review of historical studies. Knee. 2017;24(5):898–908.
19.
van der List JP, DiFelice GS. Preservation of the anterior cruciate ligament: a treatment algorithm based on tear location and tissue quality. Am J Orthop (Belle Mead NJ). 2016;45(7):E393–405.
20.
Taylor SA, Khair MM, Roberts TR, DiFelice GS. Primary repair of the anterior cruciate ligament: a systematic review. Arthroscopy. 2015;31(11):2233–47.CrossRefPubMed
21.
22.
van der List JP, DiFelice GS. Primary repair of the anterior cruciate ligament: a paradigm shift. Surgeon. 2017;15(3):161–8.CrossRefPubMed
23.
DiFelice GS, Villegas C, Taylor S. Anterior cruciate ligament preservation: early results of a novel arthroscopic technique for suture anchor primary anterior cruciate ligament repair. Arthroscopy. 2015;31(11):2162–71.CrossRefPubMed
24.
25.
van der List JP, DiFelice GS. Preservation of the anterior cruciate ligament: surgical techniques. Am J Orthop (Belle Mead NJ). 2016;45(7):E406–14.
26.
27.
28.
29.
Tibor L, Chan PH, Funahashi TT, Wyatt R, Maletis GB, Inacio MCS. Surgical technique trends in primary ACL reconstruction from 2007 to 2014. J Bone Joint Surg Am. 2016;98(13):1079–89.CrossRefPubMed
30.
Samuelsen BT, Webster KE, Johnson NR, Hewett TE, Krych AJ. Hamstring autograft versus patellar tendon autograft for ACL reconstruction: is there a difference in graft failure rate? a meta-analysis of 47,613 patients. Clin Orthop Relat Res. 2017;475(10):2459–68.
31.
Gabler CM, Jacobs CA, Howard JS, Mattacola CG, Johnson DL. Comparison of graft failure rate between autografts placed via an anatomic anterior cruciate ligament reconstruction technique: a systematic review, meta-analysis, and meta-regression. Am J Sports Med. 2016;44(4):1069–79.CrossRefPubMed
32.
Irarrázaval S, Kurosaka M, Cohen M, Fu FH. Anterior cruciate ligament reconstruction. J ISAKOS Jt Disord Orthop Sport Med. 2016;1(1):38–52.CrossRef
33.
van Eck CF, Lesniak BP, Schreiber VM, Fu FH. Anatomic single- and double-bundle anterior cruciate ligament reconstruction flowchart. Arthroscopy. 2010;26(2):258–68.CrossRefPubMed
34.
Sajovic M, Vengust V, Komadina R, Tavcar R, Skaza K. A prospective, randomized comparison of semitendinosus and gracilis tendon versus patellar tendon autografts for anterior cruciate ligament reconstruction: five-year follow-up. Am J Sports Med. 2006;34(12):1933–40.CrossRefPubMed
35.
Beaufils P, Gaudot F, Drain O, Boisrenoult P, Pujol N. Mini-invasive technique for bone patellar tendon bone harvesting: its superiority in reducing anterior knee pain following ACL reconstruction. Curr Rev Musculoskelet Med. 2011;4(2):45–51.CrossRefPubMedPubMedCentral
36.
Kartus J, Magnusson L, Stener S, Brandsson S, Eriksson BI, Karlsson J. Complications following arthroscopic anterior cruciate ligament reconstruction: a 2–5-year follow-up of 604 patients with special emphasis on anterior knee pain. Knee Surgery, Sport Traumatol Arthrosc. 1999;7(1):2–8.CrossRef
37.
Wittstein JR, Wilson JB, Moorman CT III. Complications related to hamstring tendon harvest. Oper Tech Sports Med. 2017;14(1):15–9.CrossRef
38.
Kaeding CC, Aros B, Pedroza A, Pifel E, Amendola A, Andrish JT, et al. Allograft versus autograft anterior cruciate ligament reconstruction: predictors of failure from a MOON prospective longitudinal cohort. Sports Health. 2010;3(1):73–81.CrossRef
39.
Kaiser J, Vignos MF, Liu F, Kijowski R, Thelen DG. MRI assessments of cartilage mechanics, morphology and composition following reconstruction of the anterior cruciate ligament. Clin Biomech. 2016;34:38–44.CrossRef
40.
Imhauser C, Mauro C, Choi D, et al. Abnormal tibiofemoral contact stress and its association with altered kinematics after center-center anterior cruciate ligament reconstruction: an in vitro study. Am J Sports Med. 2013;41(4):815–25.CrossRefPubMedPubMedCentral
41.
42.
Song E-K, Seon J-K, Yim J-H, Woo S-H, Seo H-Y, Lee K-B. Progression of osteoarthritis after double- and single-bundle anterior cruciate ligament reconstruction. Am J Sports Med. 2013;41(10):1–7.CrossRef
43.
Cheatham SA, Johnson DL. Anticipating problems unique to revision ACL surgery. Sports Med Arthrosc. 2013;21(2):129–34.CrossRefPubMed
44.
Maak TG, Voos JE, Wickiewicz TL, Warren RF. Tunnel widening in revision anterior cruciate ligament reconstruction. J Am Acad Orthop Surg. 2010;18(11):695–706.CrossRefPubMed
45.
Kamath GV, Redfern JC, Greis PE, Burks RT. Revision anterior cruciate ligament reconstruction. Am J Sports Med. 2010;39(1):199–217.CrossRefPubMed
46.
Wright RW, Gill CS, Chen L, et al. Outcome of revision anterior cruciate ligament reconstruction: a systematic review. J Bone Joint Surg Am. 2012;94(6):531–6.CrossRefPubMedPubMedCentral
47.
Andriolo L, Filardo G, Kon E, et al. Revision anterior cruciate ligament reconstruction: clinical outcome and evidence for return to sport. Knee Surg Sport Traumatol Arthrosc. 2015;23(10):2825–45.CrossRef
48.
Grassi A, Ardern CL, Muccioli G, Neri MP, Marcacci M, Zaffagnini S. Does revision ACL reconstruction measure up to primary surgery ? A meta-analysis comparing outcomes and radiographic results. Br J Sports Med. 2016;50:716–24.CrossRefPubMed
49.
Fleming BC, Carey JL, Spindler KP, Murray MM. Can suture repair of ACL transection restore normal anteroposterior laxity of the knee? An ex vivo study. J Orthop Res. 2008;26(11):1500–5.CrossRefPubMedPubMedCentral
50.
Murray MM, Fleming BC. Use of a bioactive scaffold to stimulate anterior cruciate ligament healing also minimizes posttraumatic osteoarthritis after surgery. Am J Sports Med. 2013;41(8):1762–70.CrossRefPubMedPubMedCentral
51.
52.
Gao F, Zhou J, He C, et al. A morphologic and quantitative study of mechanoreceptors in the remnant stump of the human anterior cruciate ligament. Arthroscopy. 2016;32(2):273–80.CrossRefPubMed
53.
van der List JP, DiFelice GS. Range of motion and complications following primary repair versus reconstruction of the anterior cruciate ligament. Knee. 2017;24(4):798–807.CrossRefPubMed
54.
Boden BP, Dean GS, Feagin JAJ, Garrett WEJ. Mechanisms of anterior cruciate ligament injury. Orthopedics. 2000;23(6):573–8.PubMed
55.
Heard WMR, VanSice WC, Savoie FH 3rd. Anterior cruciate ligament tears for the primary care sports physician: what to know on the field and in the office. Phys Sports Med. 2015;43(4):432–9.CrossRef
56.
57.
Huang W, Zhang Y, Yao Z, Ma L. Clinical examination of anterior cruciate ligament rupture: a systematic review and meta-analysis. Acta Orthop Traumatol Turc. 2016;50(1):22–31.PubMed
58.
Smith C, McGarvey C, Harb Z, et al. Diagnostic efficacy of 3-T MRI for knee injuries using arthroscopy as a reference standard: a meta-analysis. Am J Roentgenol. 2016;207(2):369–77.CrossRef
59.
van der List JP, DiFelice GS. The role of ligament repair in anterior cruciate ligament surgery. In: Mascarenhas R, Bhatia S, Lowe WR, editors. Ligamentous injuries of the knee, 1st ed. Houston: Nova Science Publishing; 2016. p. 199–220.
60.
61.
Pereira ER, Ryu KN, Ahn JM, Kayser F, Bielecki D, Resnick D. Evaluation of the anterior cruciate ligament of the knee: comparison between partial flexion true sagittal and extension sagittal oblique positions during MR imaging. Clin Radiol. 1998;53(8):574–8.CrossRefPubMed
62.
63.
Van Dyck P, Vanhoenacker FM, Gielen JL, et al. Three tesla magnetic resonance imaging of the anterior cruciate ligament of the knee: can we differentiate complete from partial tears? Skelet Radiol. 2011;40(6):701–7.CrossRef
64.
Van Dyck P, Vanhoenacker FM, Lambrecht V, et al. Prospective comparison of 1.5 and 3.0-T MRI for evaluating the knee menisci and ACL. J Bone Joint Surg Am. 2013;95(10):916–24.CrossRefPubMed
65.
Van Dyck P, de Smet E, Veryser J, et al. Partial tear of the anterior cruciate ligament of the knee: injury patterns on MR imaging. Knee Surg Sport Traumatol Arthrosc. 2012;20(2):256–61.CrossRef
66.
Kosaka M, Nakase J, Toratani T, et al. Oblique coronal and oblique sagittal MRI for diagnosis of anterior cruciate ligament tears and evaluation of anterior cruciate ligament remnant tissue. Knee. 2017;21(1):54–7.CrossRef
67.
Crain EH, Fithian DC, Paxton EW, Luetzow WF. Variation in anterior cruciate ligament scar pattern: does the scar pattern affect anterior laxity in anterior cruciate ligament-deficient knees? Arthroscopy. 2005;21(1):19–24.CrossRefPubMed
68.
van der List JP, DiFelice GS. Successful arthroscopic primary repair of a chronic anterior cruciate ligament tear 11 years following injury. HSS J. 2017;13(1):90–5.CrossRefPubMed
69.
Wiggins AJ, Grandhi RK, Schneider DK, Stanfield D, Webster KE, Myer GD. Risk of secondary injury in younger athletes after anterior cruciate ligament reconstruction: a systematic review and meta-analysis. Am J Sports Med. 2016;44(7):1861–76.CrossRefPubMedPubMedCentral
70.
Webster KE, Feller JA. Exploring the high reinjury rate in younger patients undergoing anterior cruciate ligament reconstruction. Am J Sports Med. 2016;44(11):2827–32.CrossRefPubMed
71.
Allen MM, Pareek A, Krych AJ, et al. Are female soccer players at an increased risk of second anterior cruciate ligament injury compared with their athletic peers? Am J Sports Med. 2016;44(10):2492–8.CrossRefPubMed
72.
73.
Mackay GM, Blyth MJG, Anthony I, Hopper GP, Ribbans WJ. A review of ligament augmentation with the internal brace. Surg Technol Int. 2015;26:239–55.PubMed
74.
Bencardino JT, Beltran J, Feldman MI, Rose DJ. MR imaging of complications of anterior cruciate ligament graft reconstruction. Radiographics. 2009;29(7):2115–26.CrossRefPubMed
75.
Casagranda BC, Maxwell NJ, Kavanagh EC, Towers JD, Shen W, Fu FH. Normal appearance and complications of double-bundle and selective-bundle anterior cruciate ligament reconstructions using optimal MRI techniques. Am J Roentgenol. 2009;192(5):1407–15.CrossRef
76.
Meyers AB, Haims AH, Menn K, Moukaddam H. Imaging of anterior cruciate ligament repair and its complications. Am J Roentgenol. 2010;194(2):476–84.CrossRef
77.
Ferretti M, Ekdahl M, Shen W, Fu FH. Osseous landmarks of the femoral attachment of the anterior cruciate ligament: an anatomic study. Arthroscopy. 2007;23(11):1218–25.CrossRefPubMed
78.
Edwards A, Bull AMJ, Amis AA. The attachments of the anteromedial and posterolateral fibre bundles of the anterior cruciate ligament : part 2: femoral attachment. Knee Surg Sport Traumatol Arthrosc. 2008;16(1):29–36.CrossRef
79.
Śmigielski R, Zdanowicz U, Drwięga M, Ciszek B, Williams A. The anatomy of the anterior cruciate ligament and its relevance to the technique of reconstruction. Bone Joint J. 2016;98–B(8):1020–6.CrossRefPubMed
80.
Nawabi DH, Tucker S, Schafer KA, et al. ACL fibers near the lateral intercondylar ridge are the most load bearing during stability examinations and isometric through passive flexion. Am J Sports Med. 2016;44(10):1–9.CrossRef
81.
Claes S, Verdonk P, Forsyth R, Bellemans J. The “ligamentization” process in anterior cruciate ligament reconstruction: what happens to the human graft? A systematic review of the literature. Am J Sports Med. 2011;39(11):2476–83.CrossRefPubMed
82.
Pauzenberger L, Syré S, Schurz M. “Ligamentization” in hamstring tendon grafts after anterior cruciate ligament reconstruction: a systematic review of the literature and a glimpse into the future. Arthroscopy. 2013;29(10):1712–21.CrossRefPubMed
Metadata
Title
Arthroscopic primary repair of the anterior cruciate ligament: what the radiologist needs to know
Authors
Steven P. Daniels
Jelle P. van der List
J. Jacob Kazam
Gregory S. DiFelice
Publication date
01-05-2018
Publisher
Springer Berlin Heidelberg
Published in
Skeletal Radiology / Issue 5/2018
Print ISSN: 0364-2348
Electronic ISSN: 1432-2161
DOI
https://doi.org/10.1007/s00256-017-2857-5

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