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Knee Surgery, Sports Traumatology, Arthroscopy

Published in:

01-01-2016 | knee

Morphologic evaluation of remnant anterior cruciate ligament bundles after injury with three-dimensional computed tomography

Authors: Nobuo Adachi, Mitsuo Ochi, Kobun Takazawa, Minoru Ishifuro, Masataka Deie, Atsuo Nakamae, Goki Kamei

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 1/2016

Abstract

Purpose

This study aimed to investigate the morphological patterns of remnant anterior cruciate ligament bundles after injury (ACL remnant) on three-dimensional computed tomography (3DCT) and compare them with those on arthroscopy.

Methods

Sixty-three patients (33 males and 30 females; mean age 25.2 ± 10.1 years) who had undergone primary ACL reconstruction between March 2011 and December 2012 were included in this study. The average durations between traumas and 3DCT and between 3DCT and surgery were 101.7 ± 87.2 and 38.2 ± 38.7 days, respectively. ACL remnants were classified into four morphological patterns on 3DCT. 3DCT findings were compared with arthroscopic findings with and without probing.

Results

The morphological patterns of the ACL remnants on 3DCT were well matched with those on arthroscopy without probing (the concordance rate was 77.8 %). However, the concordance rate was reduced to 49.2 % when arthroscopic probing was used to confirm the femoral attachment of ACL remnants (p ≤ 0.05).

Conclusions

This study demonstrates that the morphological patterns of ACL remnants on 3DCT were well matched with those on arthroscopy without probing. Therefore, the technique can be useful for preoperative planning of the ACL reconstruction or informed consent to the patients. However, for definitive diagnosis, arthroscopic probing is required.

Level of evidence

IV.

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Title: Morphologic evaluation of remnant anterior cruciate ligament bundles after injury with three-dimensional computed tomography
Authors: Nobuo Adachi
Mitsuo Ochi
Kobun Takazawa
Minoru Ishifuro
Masataka Deie
Atsuo Nakamae
Goki Kamei
Publication date: 01-01-2016
Publisher: Springer Berlin Heidelberg
Published in: Knee Surgery, Sports Traumatology, Arthroscopy / Issue 1/2016
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI: https://doi.org/10.1007/s00167-014-3354-1

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Morphologic evaluation of remnant anterior cruciate ligament bundles after injury with three-dimensional computed tomography

Abstract

Purpose

Methods

Results

Conclusions

Level of evidence

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

Level of evidence

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