Correlation of morphological parameters of the knee affecting the functional outcome in patients with anterior cruciate ligament reconstruction

被引：0
作者：
Kotian, Prem [1 ]
Tripathi, Anshul [2 ]
Annappa, Rajendra [1 ]
Sujir, Premjit Rabindra [1 ]
Mane, Prajwal Prabhudev [1 ]
Nayak, U. Keerthan Ranga [1 ]
Suprasanna, K. [3 ]
Thaleppady, Megha [4 ]
机构：
[1] Manipal Acad Higher Educ, Kasturba Med Coll Mangalore, Dept Orthopaed, Manipal, Karnataka, India
[2] VMMC & Safdarjung Hosp, Dept Orthopaed, New Delhi, India
[3] Manipal Acad Higher Educ, Kasturba Med Coll Mangalore, Dept Radiodiag, Manipal, Karnataka, India
[4] Manipal Acad Higher Educ, Kasturba Med Coll Mangalore, Dept Anesthesiol, Manipal, Karnataka, India
来源：
KNEE | 2025年 / 53卷
关键词：
Anterior cruciate ligament; Notch width index; Medial tibial slope; Lateral tibial slope; Patellar tendon tibial angle; Abnormal morphological parametric values; TIBIAL TRANSLATION; SLOPE;
D O I：
10.1016/j.knee.2025.01.003
中图分类号：
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];
学科分类号：
摘要：
Objectives: The literature does not show any studies that correlate between the morphological parameters of knee and functional outcome after anterior cruciate ligament reconstruction. The purpose of this study was to establish a correlation of morphological parameters of the knee in (magnetic resonance imaging) MRI with functional outcome in patients who underwent anterior cruciate ligament reconstruction. Material and methods: This was an observational study which included 63 patients who underwent anterior cruciate ligament reconstruction. Morphological parameters such as notch width index, medial and lateral tibial slopes and patellar tendon tibial slope angle were interpreted. Functional outcome was measured using IKDC (International knee documentation committee) score and Tegnor-Lysholm scores at 3, 6, 9 and 12 months post operatively. Results: Group 1(NWI) had least IKDC score (77.5 +/- 8.5) and Tegnor-Lysholm score (79 +/- 3) at 12 months among patients when compared with other single abnormal morphological parametric values. Group 10 (NWI + PTTS) had least IKDC scores (79 +/- 2) and TegnorLysholm scores (91) at 12 months. Overall group 15 (LTS + PTTS) had better IKDC scores (85.3 +/- 0.94) and Tegnor-Lysholm scores (93.3 +/- 2.4) at 12 months among all the other groups considered. Thirty patients had abnormal notch width index. Conclusion: Evaluation of knee morphology is important in anterior cruciate ligament injuries as the relevant indices correlate with surgical outcome and helps the surgeon to choose an approach to minimize graft failure. Notch width index is the best of these indices to assess the future likely functional outcome in patients with anterior cruciate ligament reconstruction. Patients having a narrow intercondylar notch width index are at risk of having a poor functional outcome post anterior cruciate ligament reconstruction. (c) 2025 The Authors. Published by Elsevier B.V. This is an open access article under the CC BY-NC license (http://creativecommons.org/licenses/by-nc/4.0/).
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页码：208 / 216
页数：9
相关论文
共 14 条
  • [1] Predicting Knee Joint Instability Using a Tibio-Femoral Statistical Shape Model[J]. Cerveri, Pietro;Belfatto, Antonella;Manzotti, Alfonso. FRONTIERS IN BIOENGINEERING AND BIOTECHNOLOGY, 2020
  • [2] Osteoarthritis and ACL Reconstruction-Myths and Risks[J]. Cheung, Edward C.;DiLallo, Marcus;Feeley, Brian T.;Lansdown, Drew A. CURRENT REVIEWS IN MUSCULOSKELETAL MEDICINE, 2020(01)
  • [3] Morphometric risk factors effects on anterior cruciate ligament injury[J]. Gultekin, Muhammet Zeki;Dincel, Yasar Mahsut;Keskin, Zeynep;Arslan, Serdar;Yildirim, Ahmet. JOINT DISEASES AND RELATED SURGERY, 2023(01)
  • [4] Relationship between intercondylar notch angle and anterior cruciate ligament injury: a magnetic resonance imaging analysis[J]. Huang, Mengquan;Li, Yubiao;Guo, Naiming;Liao, Chunlai;Yu, Bin. JOURNAL OF INTERNATIONAL MEDICAL RESEARCH, 2019(04)
  • [5] K Suprasanna, 2019, J Clin Orthop Trauma, V10, P143, DOI 10.1016/j.jcot.2017.08.002
  • [6] The effect of bony morphology on anterior cruciate ligament injury and surgery[J]. Kaarre, Janina;Ahrendt, Gillian;Giusto, Joseph D.;Ozbek, Emre Anil;Apseloff, Nicholas A.;Musahl, Volker. ACTA ORTHOPAEDICA ET TRAUMATOLOGICA TURCICA, 2024(02)
  • [7] Steeper lateral posterior tibial slope and greater lateral-medial slope asymmetry correlate with greater preoperative pivot-shift in anterior cruciate ligament injury[J]. Kataoka, Kiminari;Nagai, Kanto;Hoshino, Yuichi;Shimabukuro, Masashi;Nishida, Kyohei;Kanzaki, Noriyuki;Matsushita, Takehiko;Kuroda, Ryosuke. JOURNAL OF EXPERIMENTAL ORTHOPAEDICS, 2022(01)
  • [8] Basic science of anterior cruciate ligament injury and repair[J]. Kiapour, A. M.;Murray, M. M. BONE & JOINT RESEARCH, 2014(02)
  • [9] Posterior Tibial Slope Influences Static Anterior Tibial Translation in Anterior Cruciate Ligament Reconstruction A Minimum 2-Year Follow-up Study[J]. Li, Yue;Hong, Lei;Feng, Hua;Wang, Qianqian;Zhang, Jin;Song, Guanyang;Chen, Xingzuo;Zhuo, Hongwu. AMERICAN JOURNAL OF SPORTS MEDICINE, 2014(04)
  • [10] Anterior cruciate ligament injury: towards a gendered environmental approach[J]. Parsons, Joanne L.;Coen, Stephanie E.;Bekker, Sheree. BRITISH JOURNAL OF SPORTS MEDICINE, 2021(17)
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