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KMID : 0828620120160020128
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Journal of Korean Arthroscopy Society
2012 Volume.16 No. 2 p.128 ~ p.133
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Relationship between Graft Appearance on Follow-up MRI and Knee Stability after Double Bundle ACL Reconstruction
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Sim Jae-Ang
Kwak Ji-Hoon
Lee Yong-Seuk
Kim Kwang-Hui
Nam Shin-Woo
Jun Sung-Soo
Lee Beom-Koo
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Abstract
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Purpose: This study examined the relationship between graft appearance on follow-up magnetic resonance imaging (MRI) and knee stability after double bundle anterior cruciate ligament (ACL) reconstruction.
Materials and Methods: For each patient, 1.5 tesla MRI’s were obtained. The signal intensity of grafts was divided into 3 grades by Sononda’s classification. The course of grafts was divided into two patterns: straight and curved. We assessed Lachman test, KT 2000 arthrometer and anterior drawer stress radiograph using Telos?? in 30。knee flexion for anterior stability and evaluated pivot shift test for rotatory stability. The correlation between graft appearance on MRI and the results of knee stability tests was evaluated.
Results: The anteromedial (AM) graft was evaluated as being grade 1 in 66.7%, grade 2 in 26.7%, and grade 3 in 6.7% of the cases and the posterolateal (PL) graft was assessed as being grade 1 in 63.3%, grade 2 in 33.3%, and grade 3 in 3.3% of the cases according to the signal intensity. The AM graft was evaluated as being straight in 83.3% and curved in 16.7% of the cases, and the PL graft was assessed as being straight in 86.7% and curved in 13.3% of the cases according to the course. The course of AM graft was correlated with the results of anterior stability tests and the course of PL graft was correlated with the result of rotatory stability test. However, the signal intensity of grafts was not correlated with the results of anterior stability and rotatory stability tests.
Conclusion: The course of AM is correlated with anterior stability and the course of PL is correlated with rotatory stability on follow-up MRI after double bundle ACL reconstruction.
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KEYWORD
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Double bundle ACL reconstruction, Graft, Follow-up MRI
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