Abstract
Anterior crucial ligament (ACL) injury is one of the most common injuries of the knee. Magnetically resonance imaging (MRI) is an important method to evaluate and identify the transplant complications associated with ACL reconstruction. Objective: to develop criteria for evaluating new criteria of ACL graft restructuring. Methods: 95 patients at 3, 6, 9 and 12 months after ACL restoration using MRI are studied. ACL remodeling evaluated by MRI-signal intensity in T2 and proton density-weighted sequences (PDW), as well as the degree of homogeneity, using tribal scale. To eliminate subjectivity analysis of MRI-pictures used ratio signal/noise ratio. Data compared to intact ACL in 50 patients is obtained. Results: values of the signal/noise ratio (SNR) decreases from 3 to 9 months after the surgery, indicating graft restructuring during this period in all its parts (femoral, tibial and median). There is no difference in ratio signal/noise coefficient obtained 9 and 12 months after the surgery. It is found that even after 12 months after the operation signal intensity of ACL transplantation does not reach intact ligament values. Conclusion: it is developed method of evaluating the dynamics of recovery after ACL graft using the analysis of MRI images. It involves determining signal strength using the signal/ noise ratio and qualitative evaluation of ACL graft with general view uniformity using tribal scale. It is developed criteria of MRI evaluation for intraarticular ACL graft restructuring. The results should be considered when planning a program of rehabilitation and development of methods aimed at the acceleration of biological graft remodeling after ACL reconstruction.
Highlights
Ушкодження передньої схрещеної зв’язки (ПСЗ) — одна з найчастіших травм зв’язок колінного суглоба
Resonance imaging (MRI) is an important method to evaluate and identify the transplant complications associated with Anterior crucial ligament (ACL) reconstruction
ACL remodeling evaluated by Magnetically resonance imaging (MRI)-signal intensity in T2 and proton density-weighted sequences (PDW), as well as the degree of homogeneity, using tribal scale
Summary
Conclusion: it is developed method of evaluating the dynamics of recovery after ACL graft using the analysis of MRI images. It involves determining signal strength using the signal/ noise ratio and qualitative evaluation of ACL graft with ge neral view uniformity using tribal scale. Магнітнорезонансна томографія (МРТ) є важливим методом для оцінювання трансплантата та виявлення ускладнень, пов’язаних із реконструкцією ПСЗ. Мета: розробити МРТ- критерії для оцінювання перебудови трансплантата ПСЗ. Після операції інтенсивність сигналу від трансплантата ПСЗ не досягає значень неушкодженої зв’язки. Висновки: запропоновано методику оцінювання динаміки відновлення трансплантата ПСЗ після операції на підставі аналізу МРТ-зображень. Розроблено критерії МРТ-оцінювання перебудови внутрішньосуглобової частини трансплантата ПСЗ.
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