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Revascularization to the bone tunnel wall after anterior cruciate ligament reconstruction may relate to the distance from the vessels

Knee Surgery & Related Research 2020년 32권 1호 p.53 ~ 53
Arai Yuji, Hara Kunio, Inoue Hiroaki, Kanamura Hitoshi, Nakagawa Shuji, Atsumi Satoru, Mikami Yasuo,
소속 상세정보
 ( Arai Yuji ) - Kyoto Prefectural University of Medicine Graduate School of Medical Science Department of Sports and Para-Sports Medicine
 ( Hara Kunio ) - Japan Community Health Care Organization Kyoto Kuramaguchi Medical Center
 ( Inoue Hiroaki ) - Kyoto Prefectural University of Medicine Graduate School of Medical Science Department of Orthopaedics
 ( Kanamura Hitoshi ) - Kyoto Prefectural University of Medicine Graduate School of Medical Science Department of Orthopaedics
 ( Nakagawa Shuji ) - Kyoto Prefectural University of Medicine Graduate School of Medical Science Department of Sports and Para-Sports Medicine
 ( Atsumi Satoru ) - Japan Community Health Care Organization Kyoto Kuramaguchi Medical Center
 ( Mikami Yasuo ) - Kyoto Prefectural University of Medicine Graduate School of Medical Science Department of Rehabilitation Medicine

Abstract


Purpose: We use magnetic resonance angiography to evaluate the difference of vascular ingrowth to the bone tunnel on the anterior and posterior walls quantitatively after anterior cruciate ligament reconstruction.

Materials and methods: One hundred patients underwent anterior cruciate ligament reconstruction with multi-stranded semitendinosus tendons. They were retrospectively divided into those who underwent magnetic resonance angiography 2, 3, 4 to 6, and?≥?7?months after surgery. The mean signal-to-noise ratios of the bone tunnel walls in the femur and tibia from the digital data were measured and compared for the anterior and posterior walls.

Results: The signal-to-noise ratio of the posterior wall of the femoral bone tunnel was significantly higher than that of the anterior wall in each group. On the tibial side, the signal-to-noise ratio of the anterior wall was significantly higher than that of the posterior wall at ≥4?months after surgery.

Conclusions: This study showed that the blood flow after anterior cruciate ligament reconstruction to the femoral bone tunnel is maintained from the posterior wall, and is maintained to the tibial side from the anterior wall 4?months postoperatively. Revascularization to the bone tunnel wall after anterior cruciate ligament reconstruction may relate to the distance from the vessels.

키워드

Anterior cruciate ligament; Bone tunnel wall; Magnetic resonance angiography; Revascularization

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