Feasibility study of early prediction of postoperative MRI findings for knee stability after anterior cruciate ligament reconstruction

被引:5
作者
Zhang, Jianqiang [1 ]
Ma, Jiyao [1 ]
Huang, Juan [1 ]
Wang, Guoliang [1 ]
Huang, Yilong [1 ]
Li, Zhenhui [2 ,3 ]
Yan, Jun [1 ]
Zeng, Xiaomin [1 ]
Zhu, Hongli [1 ]
Zhao, Wei [1 ]
Li, Yanlin [1 ]
He, Bo [1 ]
机构
[1] Kunming Med Univ, Affiliated Hosp 1, Med Imaging Dept, Kunming, Yunnan, Peoples R China
[2] Kunming Med Univ, Yunnan Canc Hosp, Med Imaging Dept, Kunming, Yunnan, Peoples R China
[3] Kunming Med Univ, Affiliated Hosp 3, Kunming, Yunnan, Peoples R China
关键词
Anterior cruciate ligament (ACL) reconstruction; Stability of knee joint; Postoperative magnetic resonance (MR) examination; MRI findings early; TIBIAL POSTERIOR SLOPE; INTERCONDYLAR NOTCH; TUNNEL ENLARGEMENT; INJURIES; POSITION; FEATURES; FAILURE; GRAFTS; SIZE;
D O I
10.1186/s12891-021-04507-y
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
Background At present, the most effective and mature treatment after ACL injury and tear is ACL reconstruction, but the rehabilitation process after ACL reconstruction that is very long, so it is very important to find early MRI positive findings of knee instability. Methods We retrospectively collected the clinical and imaging data of 70 patients who underwent ACL reconstruction from January 2016 to December 2019; Based on clinical criteria, the patients were divided into a stable group (n = 57) and an unstable group (n = 13); We measured the MRI imaging evaluation indexes, including the position of the bone tunnel, graft status, and the anatomical factors; Statistical methods were used to compare the differences of imaging evaluation indexes between the two groups; The prediction equation was constructed and ROC curve was used to compare the prediction efficiency of independent prediction factors and prediction equation. Results There were significant differences in the abnormal position of tibial tunnel entrance, percentage of the position of tibial tunnel entrance, position of tibial tunnel exit, lateral tibial posterior slope (LTPS), width of intercondylar notch between stable knee joint group and unstable knee joint group after ACL reconstruction (P < 0.05); The position of tibial tunnel exits and the lateral tibial posterior slope (LTPS) and the sagittal obliquity of the graft were independent predictors among surgical factors and self-anatomical factors (P < 0.05); The prediction equation of postoperative knee stability was established: Logit(P) = -1.067-0.231*position of tibial tunnel exit + 0.509*lateral tibial posterior slope (LTPS)-2.105*sagittal obliquity of the graft; The prediction equation predicted that the AUC of knee instability was 0.915, the sensitivity was 84.6%, and the specificity was 91.2%. Conclusions We found that abnormalities of the position of the exit of the bone tunnel, lateral tibial posterior slope (LTPS) and sagittal obliquity of the graft were the early MRI positive findings of knee instability after ACL reconstruction. It is helpful for clinicians to predict the stability of knee joint after ACL reconstruction.
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页数:12
相关论文
共 32 条
  • [2] Axial and Sagittal Knee Geometry as a Risk Factor for Noncontact Anterior Cruciate Ligament Tear: A Case-Control Study
    Bisson, Leslie J.
    Gurske-DePerio, Jennifer
    [J]. ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY, 2010, 26 (07) : 901 - 906
  • [3] Lateral Tibial Posterior Slope Is Increased in Patients With Early Graft Failure After Anterior Cruciate Ligament Reconstruction
    Christensen, Joshua J.
    Krych, Aaron J.
    Engasser, William M.
    Vanhees, Matthias K.
    Collins, Mark S.
    Dahm, Diane L.
    [J]. AMERICAN JOURNAL OF SPORTS MEDICINE, 2015, 43 (10) : 2510 - 2514
  • [4] Tunnel widening in anterior cruciate ligament reconstruction: a prospective evaluation of hamstring and patella tendon grafts
    Clatworthy, MG
    Annear, P
    Bulow, JU
    Bartlett, RJ
    [J]. KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY, 1999, 7 (03) : 138 - 145
  • [5] Measures of Knee Function International Knee Documentation Committee (IKDC) Subjective Knee Evaluation Form, Knee Injury and Osteoarthritis Outcome Score (KOOS), Knee Injury and Osteoarthritis Outcome Score Physical Function Short Form (KOOS-PS), Knee Outcome Survey Activities of Daily Living Scale (KOS-ADL), Lysholm Knee Scoring Scale, Oxford Knee Score (OKS), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), Activity Rating Scale (ARS), and Tegner Activity Score (TAS)
    Collins, Natalie J.
    Misra, Devyani
    Felson, David T.
    Crossley, Kay M.
    Roos, Ewa M.
    [J]. ARTHRITIS CARE & RESEARCH, 2011, 63 : S208 - S228
  • [6] Long-Term Failure of Anterior Cruciate Ligament Reconstruction
    Crawford, S. Nicholas
    Waterman, Brian R.
    Lubowitz, James H.
    [J]. ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY, 2013, 29 (09) : 1566 - 1571
  • [7] Fabricant PD, 2016, J ISAKOS, V1, P10, DOI [10.1136/jisakos-2015-000012, DOI 10.1136/JISAKOS-2015-000012]
  • [8] BONE TUNNEL ENLARGEMENT AFTER ANTERIOR CRUCIATE LIGAMENT REPLACEMENT
    FAHEY, M
    INDELICATO, PA
    [J]. AMERICAN JOURNAL OF SPORTS MEDICINE, 1994, 22 (03) : 410 - 414
  • [9] MRI analysis of tibial position of the anterior cruciate ligament
    Frank, Rachel M.
    Seroyer, Shane T.
    Lewis, Paul B.
    Bach, Bernard R., Jr.
    Verma, Nikhil N.
    [J]. KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY, 2010, 18 (11) : 1607 - 1611
  • [10] Intercondylar notch size influences cyclops formation after anterior cruciate ligament reconstruction
    Fujii, Masataka
    Furumatsu, Takayuki
    Miyazawa, Shinichi
    Okada, Yukimasa
    Tanaka, Takaaki
    Ozaki, Toshifumi
    Abe, Nobuhiro
    [J]. KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY, 2015, 23 (04) : 1092 - 1099