Skip to main content
Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy 2/2018

15.05.2017 | Knee

MRI-based tendon bone healing is related to the clinical functional scores at the first year after anterior cruciate ligament reconstruction with hamstring tendon autograft

verfasst von: Hong-Yun Li, Hong Li, Zi-Ying Wu, Ji-Wu Chen, Shi-Yi Chen

Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy | Ausgabe 2/2018

Einloggen, um Zugang zu erhalten

Abstract

Purpose

The correlation between tendon bone healing and clinical functional scores after anterior cruciate ligament reconstruction (ACLR) using four-stranded hamstring tendon autograft has rarely being reported. The purpose of this study was to determine the correlation between magnetic resonance imaging (MRI)-based tendon bone healing and clinical functional scores after ACLR using hamstring tendon.

Methods

Thirty-eight patients with ACLR using four-stranded hamstring tendon autograft were included in this prospective study in the authors’ hospital from 2013 to 2014. All patients were performed Tegner, Lysholm, International Knee Documentation Committee (IKDC) subjective scores, KT-1000 and MRI examinations in 3, 6, 12 months after the operation, respectively. According to MRI, the healing degree of tendon bone was divided into five grades, and the healing degree of the tendon at different time points was evaluated. Moreover, the correlations between the clinical scores and tendon bone healing level at 12 months after the operation were determined.

Results

The Tegner, Lysholm, and IKDC scores of all patients were gradually improved over time after ACLR, and the degree of tendon bone healing was gradually increased. Moreover, there were significantly positive correlations between the level of tendon bone healing and the clinical functional scores at 12 months after the operation.

Conclusion

The clinical functional scores and the degree of tendon bone healing were gradually improved over time after ACLR. Moreover, there were significant positive correlations between the level of tendon bone healing and clinical functional scores of knee joint at the first year after the operation.

Level of evidence

III.
Literatur
1.
Zurück zum Zitat Anderson AF, Snyder RB, Lipscomb AB Jr (2001) Anterior cruciate ligament reconstruction. A prospective randomized study of three surgical methods. Am J Sports Med 29:272–279CrossRefPubMed Anderson AF, Snyder RB, Lipscomb AB Jr (2001) Anterior cruciate ligament reconstruction. A prospective randomized study of three surgical methods. Am J Sports Med 29:272–279CrossRefPubMed
2.
Zurück zum Zitat Ardern CL, Webster KE, Taylor NF, Feller JA (2011) Return to sport following anterior cruciate ligament reconstruction surgery: a systematic review and meta-analysis of the state of play. Br J Sports Med 45(7):596–606CrossRefPubMed Ardern CL, Webster KE, Taylor NF, Feller JA (2011) Return to sport following anterior cruciate ligament reconstruction surgery: a systematic review and meta-analysis of the state of play. Br J Sports Med 45(7):596–606CrossRefPubMed
3.
Zurück zum Zitat Aune AK, Holm I, Risberg MA, Jensen HK, Steen H (2001) Fourstrand hamstring tendon autograft compared with patellar tendon–bone autograft for anterior cruciate ligament reconstruction. A randomized study with two-year follow-up. Am J Sports Med 29:722–728CrossRefPubMed Aune AK, Holm I, Risberg MA, Jensen HK, Steen H (2001) Fourstrand hamstring tendon autograft compared with patellar tendon–bone autograft for anterior cruciate ligament reconstruction. A randomized study with two-year follow-up. Am J Sports Med 29:722–728CrossRefPubMed
4.
Zurück zum Zitat Biercevicz AM, Akelman MR, Fadale PD, Hulstyn MJ, Shalvoy RM, Badger GJ, Tung GA, Oksendahl HL, Fleming BC (2015) MRI volume and signal intensity of ACL graft predict clinical, functional, and patient-oriented outcome measures after ACL reconstruction. Am J Sports Med 43:693–699CrossRefPubMed Biercevicz AM, Akelman MR, Fadale PD, Hulstyn MJ, Shalvoy RM, Badger GJ, Tung GA, Oksendahl HL, Fleming BC (2015) MRI volume and signal intensity of ACL graft predict clinical, functional, and patient-oriented outcome measures after ACL reconstruction. Am J Sports Med 43:693–699CrossRefPubMed
5.
Zurück zum Zitat Deehan DJ, Cawston TE (2005) The biology of integration of the anterior cruciate ligament. J Bone Joint Surg Br 87:889–895CrossRefPubMed Deehan DJ, Cawston TE (2005) The biology of integration of the anterior cruciate ligament. J Bone Joint Surg Br 87:889–895CrossRefPubMed
6.
Zurück zum Zitat Ge Y, Li H, Tao H, Hua Y, Chen J, Chen S (2015) Comparison of tendon–bone healing between autografts and allografts after anterior cruciate ligament reconstruction using magnetic resonance imaging. Knee Surg Sports Traumatol Arthrosc 23(4):954–960CrossRefPubMed Ge Y, Li H, Tao H, Hua Y, Chen J, Chen S (2015) Comparison of tendon–bone healing between autografts and allografts after anterior cruciate ligament reconstruction using magnetic resonance imaging. Knee Surg Sports Traumatol Arthrosc 23(4):954–960CrossRefPubMed
7.
Zurück zum Zitat Herrington L, Wrapson C, Matthews M, Matthews H (2005) Anterior cruciate ligament reconstruction, hamstring versus bone–patella tendon–bone grafts: a systematic literature review of outcome from surgery. Knee 12:41–50CrossRefPubMed Herrington L, Wrapson C, Matthews M, Matthews H (2005) Anterior cruciate ligament reconstruction, hamstring versus bone–patella tendon–bone grafts: a systematic literature review of outcome from surgery. Knee 12:41–50CrossRefPubMed
8.
Zurück zum Zitat Iorio R, Vadalà A, Argento G, Di Sanzo V, Ferretti A (2007) Bone tunnel enlargement after ACL reconstruction using autologous hamstring tendons: a CT study. Int Orthop 31:49–55CrossRefPubMed Iorio R, Vadalà A, Argento G, Di Sanzo V, Ferretti A (2007) Bone tunnel enlargement after ACL reconstruction using autologous hamstring tendons: a CT study. Int Orthop 31:49–55CrossRefPubMed
9.
Zurück zum Zitat Kobayashi M, Nakagawa Y, Suzuki T, Okudaira S, Nakamura T (2006) A retrospective review of bone tunnel enlargement after anterior cruciate ligament reconstruction with hamstring tendons fixed with a metal round cannulated interference screw in the femur. Arthroscopy 22:1093–1099CrossRefPubMed Kobayashi M, Nakagawa Y, Suzuki T, Okudaira S, Nakamura T (2006) A retrospective review of bone tunnel enlargement after anterior cruciate ligament reconstruction with hamstring tendons fixed with a metal round cannulated interference screw in the femur. Arthroscopy 22:1093–1099CrossRefPubMed
10.
Zurück zum Zitat Kyritsis P, Bahr R, Landreau P, Miladi R, Witvrouw E (2016) Likelihood of ACL graft rupture: not meeting six clinical discharge criteria before return to sport is associated with a four times greater risk of rupture. Br J Sports Med 50:946–951CrossRefPubMed Kyritsis P, Bahr R, Landreau P, Miladi R, Witvrouw E (2016) Likelihood of ACL graft rupture: not meeting six clinical discharge criteria before return to sport is associated with a four times greater risk of rupture. Br J Sports Med 50:946–951CrossRefPubMed
11.
Zurück zum Zitat Lui PP, Ho G, Shum WT, Lee YW, Ho PY, Lo WN, Lo CK (2010) Inferior tendon graft to bone tunnel healing at the tibia compared to that at the femur after anterior cruciate ligament reconstruction. J Orthop Sci 15:389–401CrossRefPubMed Lui PP, Ho G, Shum WT, Lee YW, Ho PY, Lo WN, Lo CK (2010) Inferior tendon graft to bone tunnel healing at the tibia compared to that at the femur after anterior cruciate ligament reconstruction. J Orthop Sci 15:389–401CrossRefPubMed
12.
Zurück zum Zitat Muller B, Bowman KF Jr, Bedi A (2013) ACL graft healing and biologics. Clin Sports Med 32:93–109CrossRefPubMed Muller B, Bowman KF Jr, Bedi A (2013) ACL graft healing and biologics. Clin Sports Med 32:93–109CrossRefPubMed
13.
Zurück zum Zitat Nakase J, Kitaoka K, Toratani T, Kosaka M, Ohashi Y, Tsuchiya H (2014) Grafted tendon healing in femoral and tibial tunnels after anterior cruciate ligament reconstruction. J Orthop Surg (Hong Kong) 22:65–69CrossRef Nakase J, Kitaoka K, Toratani T, Kosaka M, Ohashi Y, Tsuchiya H (2014) Grafted tendon healing in femoral and tibial tunnels after anterior cruciate ligament reconstruction. J Orthop Surg (Hong Kong) 22:65–69CrossRef
14.
Zurück zum Zitat Ntoulia A, Papadopoulou F, Ristanis S, Argyropoulou M, Georgoulis AD (2011) Revascularization process of the bone–patellar tendon–bone autograft evaluated by contrast-enhanced magnetic resonance imaging 6 and 12 months after anterior cruciate ligament reconstruction. Am J Sports Med 39:1478–1486CrossRefPubMed Ntoulia A, Papadopoulou F, Ristanis S, Argyropoulou M, Georgoulis AD (2011) Revascularization process of the bone–patellar tendon–bone autograft evaluated by contrast-enhanced magnetic resonance imaging 6 and 12 months after anterior cruciate ligament reconstruction. Am J Sports Med 39:1478–1486CrossRefPubMed
15.
Zurück zum Zitat Paterno MV, Schmitt LC, Ford KR, Rauh MJ, Myer GD, Huang B, Hewett TE (2010) Biomechanical measures during landing and postural stability predict second anterior cruciate ligament injury after anterior cruciate ligament reconstruction and return to sport. Am J Sports Med 38:1968–1978CrossRefPubMedPubMedCentral Paterno MV, Schmitt LC, Ford KR, Rauh MJ, Myer GD, Huang B, Hewett TE (2010) Biomechanical measures during landing and postural stability predict second anterior cruciate ligament injury after anterior cruciate ligament reconstruction and return to sport. Am J Sports Med 38:1968–1978CrossRefPubMedPubMedCentral
16.
Zurück zum Zitat Silva A, Sampaio R (2009) Anatomic ACL reconstruction: does the platelet-rich plasma accelerate tendon healing? Knee Surg Sports Traumatol Arthrosc 17(6):676–682CrossRefPubMed Silva A, Sampaio R (2009) Anatomic ACL reconstruction: does the platelet-rich plasma accelerate tendon healing? Knee Surg Sports Traumatol Arthrosc 17(6):676–682CrossRefPubMed
17.
Zurück zum Zitat Steiner ME, Murray MM, Rodeo SA (2008) Strategies to improve anterior cruciate ligament healing and graft placement. Am J Sports Med 36:176–189CrossRefPubMed Steiner ME, Murray MM, Rodeo SA (2008) Strategies to improve anterior cruciate ligament healing and graft placement. Am J Sports Med 36:176–189CrossRefPubMed
18.
Zurück zum Zitat Stener S, Ejerhed L, Sernert N, Laxdal G, Rostgård-Christensen L, Kartus J (2010) A long-term, prospective, randomized study comparing biodegradable and metal interference screws in anterior cruciate ligament reconstruction surgery: radiographic results and clinical outcome. Am J Sports Med 38(8):1598–1605CrossRefPubMed Stener S, Ejerhed L, Sernert N, Laxdal G, Rostgård-Christensen L, Kartus J (2010) A long-term, prospective, randomized study comparing biodegradable and metal interference screws in anterior cruciate ligament reconstruction surgery: radiographic results and clinical outcome. Am J Sports Med 38(8):1598–1605CrossRefPubMed
19.
Zurück zum Zitat Suomalainen P, Moisala AS, Paakkala A, Kannus P, Järvelä T (2011) Double-bundle versus single-bundle anterior cruciate ligament reconstruction: randomized clinical and magnetic resonance imaging study with 2-year follow-up. Am J Sports Med 39:1615–1622CrossRefPubMed Suomalainen P, Moisala AS, Paakkala A, Kannus P, Järvelä T (2011) Double-bundle versus single-bundle anterior cruciate ligament reconstruction: randomized clinical and magnetic resonance imaging study with 2-year follow-up. Am J Sports Med 39:1615–1622CrossRefPubMed
20.
Zurück zum Zitat Weiler A, Peters G, Mäurer J, Unterhauser FN, Südkamp NP (2001) Biomechanical properties and vascularity of an anterior cruciate ligament graft can be predicted by contrast-enhanced magnetic resonance imaging. A two-year study in sheep. Am J Sports Med 29:751–761CrossRefPubMed Weiler A, Peters G, Mäurer J, Unterhauser FN, Südkamp NP (2001) Biomechanical properties and vascularity of an anterior cruciate ligament graft can be predicted by contrast-enhanced magnetic resonance imaging. A two-year study in sheep. Am J Sports Med 29:751–761CrossRefPubMed
21.
Zurück zum Zitat Wen CY, Qin L, Lee KM, Wong MW, Chan KM (2010) Grafted tendon healing in tibial tunnel is inferior to healing in femoral tunnel after anterior cruciate ligament reconstruction: a histomorphometric study in rabbits. Arthroscopy 26:58–66CrossRefPubMed Wen CY, Qin L, Lee KM, Wong MW, Chan KM (2010) Grafted tendon healing in tibial tunnel is inferior to healing in femoral tunnel after anterior cruciate ligament reconstruction: a histomorphometric study in rabbits. Arthroscopy 26:58–66CrossRefPubMed
Metadaten
Titel
MRI-based tendon bone healing is related to the clinical functional scores at the first year after anterior cruciate ligament reconstruction with hamstring tendon autograft
verfasst von
Hong-Yun Li
Hong Li
Zi-Ying Wu
Ji-Wu Chen
Shi-Yi Chen
Publikationsdatum
15.05.2017
Verlag
Springer Berlin Heidelberg
Erschienen in
Knee Surgery, Sports Traumatology, Arthroscopy / Ausgabe 2/2018
Print ISSN: 0942-2056
Elektronische ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-017-4568-9

Weitere Artikel der Ausgabe 2/2018

Knee Surgery, Sports Traumatology, Arthroscopy 2/2018 Zur Ausgabe

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen. 
» Jetzt entdecken

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.