Specific compartmental analysis of cartilage status in double-bundle ACL reconstruction patients: a comparative study using pre- and postoperative MR images
Purpose The purpose of this study was to evaluate the changes in the site-specific cartilage status after a double-bundle ACL reconstruction using preoperative and follow-up MR images. Methods Thirty-six knees that underwent a double-bundle ACL reconstruction from 2001 to 2009 with the available pre...
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| Veröffentlicht in: | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA sports traumatology, arthroscopy : official journal of the ESSKA, 2013-03, Vol.21 (3), p.702-707 |
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| container_title | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA |
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| creator | Lee, Yong Seuk Jeong, Yu Mi Sim, Jae Ang Kwak, Ji Hoon Kim, Kwang Hee Nam, Shin Woo Lee, Beom Koo |
| description | Purpose
The purpose of this study was to evaluate the changes in the site-specific cartilage status after a double-bundle ACL reconstruction using preoperative and follow-up MR images.
Methods
Thirty-six knees that underwent a double-bundle ACL reconstruction from 2001 to 2009 with the available preoperative and follow-up magnetic resonance imaging were included. Patients with a meniscal injury were compared with those without a meniscal injury. The cartilage morphology was classified using a 6-grade scale [from 0 = normal thickness and signal, to 6 = diffuse full-thickness loss (>75 % of the region)]. The changes in cartilage status were evaluated at 14 sites.
Results
Cartilage changes were observed in all sites and were classified according to the site and degree of change. The majority of changes were grade 0 and 1, which accounted for 68 and 16.8 % of changes, respectively. The patella medial facet and anterolateral and centromedial femoral regions showed significantly more cartilage loss than the posteromedial, centrolateral, anterolateral, and anteromedial tibial regions. No significance was observed between the knees with or without combined injuries (n.s.). On the other hand, knees with or without combined injuries showed a different pattern of cartilage change, as demonstrated by different levels of grade change at sites.
Conclusions
The change in cartilage status was minimal after a double-bundle ACL reconstruction. The patella medial facet, lateral femur anterior region, and medial femur central region showed significantly more cartilage loss than the medial tibia posterior, lateral tibia central, lateral tibia anterior, and medial tibia anterior regions. The presence of a combined injury did not affect the cartilage status changes, even though it was underpowered and too short term to assess the influence of the meniscal injury.
Level of evidence
Case series, Level IV. |
| doi_str_mv | 10.1007/s00167-012-2046-y |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1315625606</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1288992461</sourcerecordid><originalsourceid>FETCH-LOGICAL-c405t-a20dd055c37ff1dab9ddcb3ac1a43133769411c4075c40fa67e6065d7b9358523</originalsourceid><addsrcrecordid>eNqFkcuKFDEUhoMoTjv6AG4k4MZNaS6VpMvd0HiDFsHLOqSSVJOhqlLmJAP1Lj6saaoVEcRNEs75zv9z8iP0lJKXlBD1CgihUjWEsoaRVjbrPbSjLeeN4q26j3aka88dIa_QI4BbQuqz7R6iK8ZEx6TgO_Tjy-JtGILFNk6LSXnyczYjNrMZVwiA44BtLYfRnDyGbHIBHGbsYulH3_RldqPHN4cjTt7GGXIqNoc448XkUKXgNTYX6Vq4O0sUt-ICYT7hJfmmOjm8RMhx8Rfk42ccpmoHj9GDwYzgn1zua_Tt7Zuvh_fN8dO7D4ebY2NbInJjGHGOCGG5GgbqTN85Z3tuLDUtp5wr2bWUVlaJegxGKi-JFE71HRd7wfg1erHpLil-Lx6yngJYP45m9rGAppwKyUQd-j_K9vuuY62kFX3-F3obS6r_ulGUUtmpStGNsikCJD_oJdXt06op0eeU9Zayrinrc8p6rTPPLsqln7z7PfEr1gqwDYDamk8-_WH9T9Wf5ri0qw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1288111697</pqid></control><display><type>article</type><title>Specific compartmental analysis of cartilage status in double-bundle ACL reconstruction patients: a comparative study using pre- and postoperative MR images</title><source>Wiley Online Library - AutoHoldings Journals</source><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Lee, Yong Seuk ; Jeong, Yu Mi ; Sim, Jae Ang ; Kwak, Ji Hoon ; Kim, Kwang Hee ; Nam, Shin Woo ; Lee, Beom Koo</creator><creatorcontrib>Lee, Yong Seuk ; Jeong, Yu Mi ; Sim, Jae Ang ; Kwak, Ji Hoon ; Kim, Kwang Hee ; Nam, Shin Woo ; Lee, Beom Koo</creatorcontrib><description>Purpose
The purpose of this study was to evaluate the changes in the site-specific cartilage status after a double-bundle ACL reconstruction using preoperative and follow-up MR images.
Methods
Thirty-six knees that underwent a double-bundle ACL reconstruction from 2001 to 2009 with the available preoperative and follow-up magnetic resonance imaging were included. Patients with a meniscal injury were compared with those without a meniscal injury. The cartilage morphology was classified using a 6-grade scale [from 0 = normal thickness and signal, to 6 = diffuse full-thickness loss (>75 % of the region)]. The changes in cartilage status were evaluated at 14 sites.
Results
Cartilage changes were observed in all sites and were classified according to the site and degree of change. The majority of changes were grade 0 and 1, which accounted for 68 and 16.8 % of changes, respectively. The patella medial facet and anterolateral and centromedial femoral regions showed significantly more cartilage loss than the posteromedial, centrolateral, anterolateral, and anteromedial tibial regions. No significance was observed between the knees with or without combined injuries (n.s.). On the other hand, knees with or without combined injuries showed a different pattern of cartilage change, as demonstrated by different levels of grade change at sites.
Conclusions
The change in cartilage status was minimal after a double-bundle ACL reconstruction. The patella medial facet, lateral femur anterior region, and medial femur central region showed significantly more cartilage loss than the medial tibia posterior, lateral tibia central, lateral tibia anterior, and medial tibia anterior regions. The presence of a combined injury did not affect the cartilage status changes, even though it was underpowered and too short term to assess the influence of the meniscal injury.
Level of evidence
Case series, Level IV.</description><identifier>ISSN: 0942-2056</identifier><identifier>EISSN: 1433-7347</identifier><identifier>DOI: 10.1007/s00167-012-2046-y</identifier><identifier>PMID: 22592653</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer-Verlag</publisher><subject>Adult ; Anterior Cruciate Ligament - surgery ; Anterior Cruciate Ligament Injuries ; Anterior Cruciate Ligament Reconstruction - adverse effects ; Arthritis ; Bone surgery ; Cartilage ; Cartilage - pathology ; Cartilage Diseases - diagnosis ; Cartilage Diseases - etiology ; Female ; Humans ; Injuries ; Knee ; Magnetic Resonance Imaging ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Morphology ; Orthopedics ; Osteoarthritis ; Tibial Meniscus Injuries ; Young Adult</subject><ispartof>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2013-03, Vol.21 (3), p.702-707</ispartof><rights>Springer-Verlag 2012</rights><rights>Springer-Verlag Berlin Heidelberg 2013</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c405t-a20dd055c37ff1dab9ddcb3ac1a43133769411c4075c40fa67e6065d7b9358523</citedby><cites>FETCH-LOGICAL-c405t-a20dd055c37ff1dab9ddcb3ac1a43133769411c4075c40fa67e6065d7b9358523</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00167-012-2046-y$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00167-012-2046-y$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22592653$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lee, Yong Seuk</creatorcontrib><creatorcontrib>Jeong, Yu Mi</creatorcontrib><creatorcontrib>Sim, Jae Ang</creatorcontrib><creatorcontrib>Kwak, Ji Hoon</creatorcontrib><creatorcontrib>Kim, Kwang Hee</creatorcontrib><creatorcontrib>Nam, Shin Woo</creatorcontrib><creatorcontrib>Lee, Beom Koo</creatorcontrib><title>Specific compartmental analysis of cartilage status in double-bundle ACL reconstruction patients: a comparative study using pre- and postoperative MR images</title><title>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</title><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><description>Purpose
The purpose of this study was to evaluate the changes in the site-specific cartilage status after a double-bundle ACL reconstruction using preoperative and follow-up MR images.
Methods
Thirty-six knees that underwent a double-bundle ACL reconstruction from 2001 to 2009 with the available preoperative and follow-up magnetic resonance imaging were included. Patients with a meniscal injury were compared with those without a meniscal injury. The cartilage morphology was classified using a 6-grade scale [from 0 = normal thickness and signal, to 6 = diffuse full-thickness loss (>75 % of the region)]. The changes in cartilage status were evaluated at 14 sites.
Results
Cartilage changes were observed in all sites and were classified according to the site and degree of change. The majority of changes were grade 0 and 1, which accounted for 68 and 16.8 % of changes, respectively. The patella medial facet and anterolateral and centromedial femoral regions showed significantly more cartilage loss than the posteromedial, centrolateral, anterolateral, and anteromedial tibial regions. No significance was observed between the knees with or without combined injuries (n.s.). On the other hand, knees with or without combined injuries showed a different pattern of cartilage change, as demonstrated by different levels of grade change at sites.
Conclusions
The change in cartilage status was minimal after a double-bundle ACL reconstruction. The patella medial facet, lateral femur anterior region, and medial femur central region showed significantly more cartilage loss than the medial tibia posterior, lateral tibia central, lateral tibia anterior, and medial tibia anterior regions. The presence of a combined injury did not affect the cartilage status changes, even though it was underpowered and too short term to assess the influence of the meniscal injury.
Level of evidence
Case series, Level IV.</description><subject>Adult</subject><subject>Anterior Cruciate Ligament - surgery</subject><subject>Anterior Cruciate Ligament Injuries</subject><subject>Anterior Cruciate Ligament Reconstruction - adverse effects</subject><subject>Arthritis</subject><subject>Bone surgery</subject><subject>Cartilage</subject><subject>Cartilage - pathology</subject><subject>Cartilage Diseases - diagnosis</subject><subject>Cartilage Diseases - etiology</subject><subject>Female</subject><subject>Humans</subject><subject>Injuries</subject><subject>Knee</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Morphology</subject><subject>Orthopedics</subject><subject>Osteoarthritis</subject><subject>Tibial Meniscus Injuries</subject><subject>Young Adult</subject><issn>0942-2056</issn><issn>1433-7347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqFkcuKFDEUhoMoTjv6AG4k4MZNaS6VpMvd0HiDFsHLOqSSVJOhqlLmJAP1Lj6saaoVEcRNEs75zv9z8iP0lJKXlBD1CgihUjWEsoaRVjbrPbSjLeeN4q26j3aka88dIa_QI4BbQuqz7R6iK8ZEx6TgO_Tjy-JtGILFNk6LSXnyczYjNrMZVwiA44BtLYfRnDyGbHIBHGbsYulH3_RldqPHN4cjTt7GGXIqNoc448XkUKXgNTYX6Vq4O0sUt-ICYT7hJfmmOjm8RMhx8Rfk42ccpmoHj9GDwYzgn1zua_Tt7Zuvh_fN8dO7D4ebY2NbInJjGHGOCGG5GgbqTN85Z3tuLDUtp5wr2bWUVlaJegxGKi-JFE71HRd7wfg1erHpLil-Lx6yngJYP45m9rGAppwKyUQd-j_K9vuuY62kFX3-F3obS6r_ulGUUtmpStGNsikCJD_oJdXt06op0eeU9Zayrinrc8p6rTPPLsqln7z7PfEr1gqwDYDamk8-_WH9T9Wf5ri0qw</recordid><startdate>20130301</startdate><enddate>20130301</enddate><creator>Lee, Yong Seuk</creator><creator>Jeong, Yu Mi</creator><creator>Sim, Jae Ang</creator><creator>Kwak, Ji Hoon</creator><creator>Kim, Kwang Hee</creator><creator>Nam, Shin Woo</creator><creator>Lee, Beom Koo</creator><general>Springer-Verlag</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7RV</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>7QP</scope></search><sort><creationdate>20130301</creationdate><title>Specific compartmental analysis of cartilage status in double-bundle ACL reconstruction patients: a comparative study using pre- and postoperative MR images</title><author>Lee, Yong Seuk ; Jeong, Yu Mi ; Sim, Jae Ang ; Kwak, Ji Hoon ; Kim, Kwang Hee ; Nam, Shin Woo ; Lee, Beom Koo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c405t-a20dd055c37ff1dab9ddcb3ac1a43133769411c4075c40fa67e6065d7b9358523</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adult</topic><topic>Anterior Cruciate Ligament - surgery</topic><topic>Anterior Cruciate Ligament Injuries</topic><topic>Anterior Cruciate Ligament Reconstruction - adverse effects</topic><topic>Arthritis</topic><topic>Bone surgery</topic><topic>Cartilage</topic><topic>Cartilage - pathology</topic><topic>Cartilage Diseases - diagnosis</topic><topic>Cartilage Diseases - etiology</topic><topic>Female</topic><topic>Humans</topic><topic>Injuries</topic><topic>Knee</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Morphology</topic><topic>Orthopedics</topic><topic>Osteoarthritis</topic><topic>Tibial Meniscus Injuries</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lee, Yong Seuk</creatorcontrib><creatorcontrib>Jeong, Yu Mi</creatorcontrib><creatorcontrib>Sim, Jae Ang</creatorcontrib><creatorcontrib>Kwak, Ji Hoon</creatorcontrib><creatorcontrib>Kim, Kwang Hee</creatorcontrib><creatorcontrib>Nam, Shin Woo</creatorcontrib><creatorcontrib>Lee, Beom Koo</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Physical Education Index</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><collection>Calcium & Calcified Tissue Abstracts</collection><jtitle>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lee, Yong Seuk</au><au>Jeong, Yu Mi</au><au>Sim, Jae Ang</au><au>Kwak, Ji Hoon</au><au>Kim, Kwang Hee</au><au>Nam, Shin Woo</au><au>Lee, Beom Koo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Specific compartmental analysis of cartilage status in double-bundle ACL reconstruction patients: a comparative study using pre- and postoperative MR images</atitle><jtitle>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</jtitle><stitle>Knee Surg Sports Traumatol Arthrosc</stitle><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><date>2013-03-01</date><risdate>2013</risdate><volume>21</volume><issue>3</issue><spage>702</spage><epage>707</epage><pages>702-707</pages><issn>0942-2056</issn><eissn>1433-7347</eissn><abstract>Purpose
The purpose of this study was to evaluate the changes in the site-specific cartilage status after a double-bundle ACL reconstruction using preoperative and follow-up MR images.
Methods
Thirty-six knees that underwent a double-bundle ACL reconstruction from 2001 to 2009 with the available preoperative and follow-up magnetic resonance imaging were included. Patients with a meniscal injury were compared with those without a meniscal injury. The cartilage morphology was classified using a 6-grade scale [from 0 = normal thickness and signal, to 6 = diffuse full-thickness loss (>75 % of the region)]. The changes in cartilage status were evaluated at 14 sites.
Results
Cartilage changes were observed in all sites and were classified according to the site and degree of change. The majority of changes were grade 0 and 1, which accounted for 68 and 16.8 % of changes, respectively. The patella medial facet and anterolateral and centromedial femoral regions showed significantly more cartilage loss than the posteromedial, centrolateral, anterolateral, and anteromedial tibial regions. No significance was observed between the knees with or without combined injuries (n.s.). On the other hand, knees with or without combined injuries showed a different pattern of cartilage change, as demonstrated by different levels of grade change at sites.
Conclusions
The change in cartilage status was minimal after a double-bundle ACL reconstruction. The patella medial facet, lateral femur anterior region, and medial femur central region showed significantly more cartilage loss than the medial tibia posterior, lateral tibia central, lateral tibia anterior, and medial tibia anterior regions. The presence of a combined injury did not affect the cartilage status changes, even though it was underpowered and too short term to assess the influence of the meniscal injury.
Level of evidence
Case series, Level IV.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer-Verlag</pub><pmid>22592653</pmid><doi>10.1007/s00167-012-2046-y</doi><tpages>6</tpages></addata></record> |
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| identifier | ISSN: 0942-2056 |
| ispartof | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2013-03, Vol.21 (3), p.702-707 |
| issn | 0942-2056 1433-7347 |
| language | eng |
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| source | Wiley Online Library - AutoHoldings Journals; MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Adult Anterior Cruciate Ligament - surgery Anterior Cruciate Ligament Injuries Anterior Cruciate Ligament Reconstruction - adverse effects Arthritis Bone surgery Cartilage Cartilage - pathology Cartilage Diseases - diagnosis Cartilage Diseases - etiology Female Humans Injuries Knee Magnetic Resonance Imaging Male Medicine Medicine & Public Health Middle Aged Morphology Orthopedics Osteoarthritis Tibial Meniscus Injuries Young Adult |
| title | Specific compartmental analysis of cartilage status in double-bundle ACL reconstruction patients: a comparative study using pre- and postoperative MR images |
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