The bone microstructure from anterior cruciate ligament footprints is similar after ligament reconstruction and does not affect long-term outcomes
| Autor: | Marcin Binkowski, Filip Humpa, Krzysztof Ficek, Jacek Karpe, Zygmunt Wróbel, Mateusz Stolarz, Jolanta Rajca, Paulina Cyganik, Zbigniew Kwiatkowski, Damian Czyżewski, Małgorzata A. Janik |
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| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Anterior cruciate ligament reconstruction Knee Joint Anterior cruciate ligament medicine.medical_treatment Bone tissue 03 medical and health sciences Tendon to bone healing 0302 clinical medicine medicine Humans Orthopedics and Sports Medicine Femur Knee Tibia Anterior Cruciate Ligament 030304 developmental biology Orthodontics Bone tunnels 030222 orthopedics 0303 health sciences Anterior Cruciate Ligament Reconstruction business.industry Anterior Cruciate Ligament Injuries medicine.disease musculoskeletal system ACL injury ACL reconstruction medicine.anatomical_structure Orthopedic surgery Ligament Surgery business |
| Zdroj: | Knee Surgery, Sports Traumatology, Arthroscopy |
| ISSN: | 1433-7347 |
| Popis: | Purpose The purpose of this study was to assess the quality of the bone tissue microstructure from the footprints of the anterior cruciate ligament (ACL) and its impact on late follow-up outcomes in patients who undergo anterior cruciate ligament reconstruction (ACLR). Methods The records of 26 patients diagnosed with a completely torn ACL who underwent ACLR were collected. During the surgery performed using the Felmet method, bone blocks from the native ACL footprints were collected. The primary measurements of the bone microstructure were made using a microtomographic scanner. In late follow-up examinations, a GNRB arthrometer was used. Results There was no significant difference in the bone microstructure assessed using micro-CT histomorphometric data according to the blood test results, plain radiographs, age or anthropometric data. There was no difference in the bone volume/total volume ratio or trabecular thickness in the area of the native ACL footprints. Routine preoperative examinations were not relevant to the quality of the bone microstructure. The elapsed time from an ACL injury to surgery had no relevance to the results of arthrometry. Conclusion The similarities in the microstructure of bone blocks from ACL footprints from the femur and tibia allow the variable use of these blocks to stabilize grafts in the Felmet method. The bone microstructure is not dependent on the time from injury to surgery. Histomorphometric values of the structure of the femoral and tibial ACL footprints have no impact on the long-term stability of the operated knee joint. Trial registration The approval of the Bioethics Committee of the Silesian Medical Chamber in Katowice, Poland (resolution 16/2014) was given for this research. Level of evidence II. |
| Databáze: | OpenAIRE |
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