[Graft remodeling following Hertel ACL reconstruction in MR imaging]

Chir Narzadow Ruchu Ortop Pol. 2003;68(2):101-4.
[Article in Polish]

Abstract

MRI and clinical assessment of 21 patients operated on with Hertel method due to knee instability has been presented. Position of the graft in reference to the Blumensaat line has been evaluated in MRI with the use of 3 point scale after mean follow-up of 9-months. Four points scale has been used to grade signal intensity as indicator of graft remodeling. Lysholm scale served for clinical assessment. Mean grade for graft position was 2.3 and for signal intensity 2.7. Better remodeling of the graft correlated positively with its better positioning, but clinical assessment correlated poorly with signal intensity and localization of the graft. Incorrect positioning of the graft hinders its remodeling--ligamentization of the tendon.

MeSH terms

  • Adult
  • Anterior Cruciate Ligament / diagnostic imaging
  • Anterior Cruciate Ligament / pathology*
  • Anterior Cruciate Ligament / surgery
  • Anterior Cruciate Ligament Injuries
  • Female
  • Humans
  • Joint Instability / diagnostic imaging
  • Joint Instability / pathology*
  • Joint Instability / surgery
  • Knee Dislocation / diagnostic imaging
  • Knee Dislocation / pathology*
  • Knee Dislocation / surgery
  • Knee Joint / diagnostic imaging
  • Knee Joint / pathology*
  • Knee Joint / surgery
  • Magnetic Resonance Imaging*
  • Male
  • Radiography
  • Tendons / diagnostic imaging
  • Tendons / pathology*
  • Tendons / surgery