A radiographic and histologic evaluation of the patellar tendon after harvesting its central third
| Autor: | Lars Rostgård Christensen, Tomas Movin, Jüri Kartus, Nikos Papadogiannakis, Sven Lindahl, Jon Karlsson |
|---|---|
| Rok vydání: | 2000 |
| Předmět: |
musculoskeletal diseases
Adult Male Reoperation medicine.medical_specialty Anterior cruciate ligament reconstruction Adolescent Radiography Anterior cruciate ligament medicine.medical_treatment Biopsy Physical Therapy Sports Therapy and Rehabilitation Knee Injuries 030218 nuclear medicine & medical imaging Tendons 03 medical and health sciences 0302 clinical medicine Vascularity medicine Humans Orthopedics and Sports Medicine Anterior Cruciate Ligament medicine.diagnostic_test business.industry Anterior Cruciate Ligament Injuries Magnetic resonance imaging 030229 sport sciences musculoskeletal system Magnetic Resonance Imaging Tendon Surgery medicine.anatomical_structure Patella Female medicine.symptom business human activities |
| Zdroj: | The American journal of sports medicine. 28(2) |
| ISSN: | 0363-5465 |
| Popis: | Nineteen consecutive patients undergoing anterior cruciate ligament reconstruction using the central third of the ipsilateral patellar tendon were included in the study. Serial magnetic resonance images revealed that the donor-site gap in the tendon decreased with time (mean follow-up, 26 months). The thickness was significantly increased compared with the intact contralateral patellar tendon, regardless of when the magnetic resonance imaging was performed. Ultrasonography showed the same findings at a mean follow-up of 26 months. Histologic evaluation of the repair tissue in the central part of the tendon, as well as the tissue in the peripheral part of the patellar tendon at the donor site, revealed a significant increase in cellularity and vascularity as compared with normal control tendons. Thus, 2 years after the harvesting procedure, the patellar tendon displayed significant radiographic and histologic abnormalities. On the basis of these findings, reharvest of the patellar tendon, at least up to 2 years after primary harvest, cannot be recommended. |
| Databáze: | OpenAIRE |
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