Correlation of morphological parameters of the knee affecting the functional outcome in patients with anterior cruciate ligament reconstruction

IF 1.6 4区医学 Q3 ORTHOPEDICS

Knee Pub Date : 2025-01-18 DOI:10.1016/j.knee.2025.01.003

Prem Kotian , Anshul Tripathi , Rajendra Annappa , Premjit Rabindra Sujir , Prajwal Prabhudev Mane , Keerthan Ranga Nayak U , K. Suprasanna , Megha Thaleppady

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引用次数: 0

Abstract

Objectives

The literature does not show any studies that correlate between the morphological parameters of knee and functional outcome after anterior cruciate ligament reconstruction. The purpose of this study was to establish a correlation of morphological parameters of the knee in (magnetic resonance imaging) MRI with functional outcome in patients who underwent anterior cruciate ligament reconstruction.

Material and methods

This was an observational study which included 63 patients who underwent anterior cruciate ligament reconstruction. Morphological parameters such as notch width index, medial and lateral tibial slopes and patellar tendon tibial slope angle were interpreted. Functional outcome was measured using IKDC (International knee documentation committee) score and Tegnor-Lysholm scores at 3, 6, 9 and 12 months post operatively.

Results

Group 1(NWI) had least IKDC score (77.5 ± 8.5) and Tegnor-Lysholm score (79 ± 3) at 12 months among patients when compared with other single abnormal morphological parametric values. Group 10 (NWI + PTTS) had least IKDC scores (79 ± 2) and Tegnor-Lysholm scores (91) at 12 months. Overall group 15 (LTS + PTTS) had better IKDC scores (85.3 ± 0.94) and Tegnor-Lysholm scores (93.3 ± 2.4) at 12 months among all the other groups considered. Thirty patients had abnormal notch width index.

Conclusion

Evaluation of knee morphology is important in anterior cruciate ligament injuries as the relevant indices correlate with surgical outcome and helps the surgeon to choose an approach to minimize graft failure. Notch width index is the best of these indices to assess the future likely functional outcome in patients with anterior cruciate ligament reconstruction. Patients having a narrow intercondylar notch width index are at risk of having a poor functional outcome post anterior cruciate ligament reconstruction.

查看原文本刊更多论文

膝关节形态参数对前交叉韧带重建患者功能预后的影响。

目的：文献没有显示任何研究表明前交叉韧带重建后膝关节形态参数与功能预后之间存在相关性。本研究的目的是建立（磁共振成像）MRI中膝关节形态参数与前交叉韧带重建患者功能预后的相关性。材料和方法：这是一项观察性研究，包括63例接受前交叉韧带重建的患者。对切口宽度指数、胫骨内外侧斜度、髌骨肌腱胫骨斜度角等形态学参数进行分析。术后3、6、9和12个月，使用IKDC（国际膝关节文献委员会）评分和Tegnor-Lysholm评分来测量功能结局。结果：1组（NWI）患者在12个月时IKDC评分（77.5±8.5）和Tegnor-Lysholm评分（79±3）低于其他单一形态学参数值。10组（NWI + PTTS） 12个月时IKDC评分最低（79±2），Tegnor-Lysholm评分最低（91）。总的来说，15组（LTS + PTTS）在12个月时的IKDC评分（85.3±0.94）和Tegnor-Lysholm评分（93.3±2.4）优于其他所有组。切口宽度指数异常30例。结论：在前交叉韧带损伤中，膝关节形态学的评估很重要，因为相关指标与手术结果相关，有助于外科医生选择一种方法来减少移植物失败。缺口宽度指数是评估前交叉韧带重建患者未来可能功能结局的最佳指标。髁间切迹宽度指数较窄的患者在前交叉韧带重建后存在功能不良的风险。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Knee 医学-外科

CiteScore

3.80

自引率

5.30%

发文量

171

审稿时长

6 months

期刊介绍： The Knee is an international journal publishing studies on the clinical treatment and fundamental biomechanical characteristics of this joint. The aim of the journal is to provide a vehicle relevant to surgeons, biomedical engineers, imaging specialists, materials scientists, rehabilitation personnel and all those with an interest in the knee. The topics covered include, but are not limited to: • Anatomy, physiology, morphology and biochemistry; • Biomechanical studies; • Advances in the development of prosthetic, orthotic and augmentation devices; • Imaging and diagnostic techniques; • Pathology; • Trauma; • Surgery; • Rehabilitation.