IF 1.8

SICOT-J Pub Date : 2024-01-01 Epub Date: 2024-10-08 DOI: 10.1051/sicotj/2024034

Mikiko Handa, Tsuneari Takahashi, Katsushi Takeshita

{"title":"Biomechanical comparison of the tensile strength of fixation implants used for pull-out repair of medial meniscus posterior root tear.","authors":"Mikiko Handa, Tsuneari Takahashi, Katsushi Takeshita","doi":"10.1051/sicotj/2024034","DOIUrl":"10.1051/sicotj/2024034","url":null,"abstract":"Purpose: Medial meniscus posterior root tears (MMPRT) pull-out repair aims to restore the meniscus' anatomical structure. Different implants are utilized for thread fixation in the pull-out repair technique for MMPRT. However, biomechanical evidence comparing the fixation strengths of these implants remains unavailable. This study investigated the tensile strength of three fixation implants in porcine knee models of MMPRT pull-out repair.Methods: This study categorized 30 porcine MMPRT models undergoing pull-out repair into three groups (10 specimens each) based on the implant utilized for fixation, including double spike plate, metallic interference screw (IFS), and resorbable IFS fixed group. A tensile tester was used to track the suture wire threaded to the medial meniscus anterior root. The displacement length was recorded after 10 and 20 loading cycles (10-30 N, 100 mm/min cross-head speed). Each specimen was then stretched to failure (50 mm/min cross-head speed), failure modes were recorded, and structural properties (maximum load, linear stiffness, elongation at failure, and elongation at yield) were compared. Fisher's exact test and one-way analysis of variance were utilized to assess the differences.Results: No significant differences in displacement length, upper yield load, maximum load, linear stiffness, elongation at yield, elongation at failure, and frequency of failure mode were observed between the three groups.Conclusion: All implants were comparable in terms of fixation strength. Thus, resorbable interference screws may be particularly useful in this technique and does not require implant removal surgery.Level of evidence: IV.","PeriodicalId":46378,"journal":{"name":"SICOT-J","volume":"10 ","pages":"40"},"PeriodicalIF":1.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11460825/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394163","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Finite element analysis of the knee joint: a computational tool to analyze the combined behavior after treatment of torn ligaments and menisci in the human knee joint. 膝关节有限元分析：分析人体膝关节韧带和半月板撕裂治疗后综合行为的计算工具。

IF 1.8

SICOT-J Pub Date : 2024-01-01 Epub Date: 2024-10-31 DOI: 10.1051/sicotj/2024039

Angelo V Vasiliadis, Vasileios Giovanoulis, Alexandros Maris, Dimitrios Chytas, Konstantinos Katakalos, George Paraskevas, George Noussios, Aikaterini Vassiou

{"title":"Finite element analysis of the knee joint: a computational tool to analyze the combined behavior after treatment of torn ligaments and menisci in the human knee joint.","authors":"Angelo V Vasiliadis, Vasileios Giovanoulis, Alexandros Maris, Dimitrios Chytas, Konstantinos Katakalos, George Paraskevas, George Noussios, Aikaterini Vassiou","doi":"10.1051/sicotj/2024039","DOIUrl":"10.1051/sicotj/2024039","url":null,"abstract":"Finite element analysis (FEA) is a fundamental tool that can be used in the orthopaedic world to simulate and analyze the behaviour of different surgical procedures. It is important to be aware that removing more than 20% of the meniscus could increase the shear stress in the cartilage and enlarge the risk of knee joint degeneration. In this fact, the maximal shear stress value in the medial cartilage increased up to 225% from 0.15 MPa to 0.5 MPa after medial meniscectomy. Also, meniscal root repair can improve meniscal biomechanics and potentially reduce the risk of osteoarthritis, even in cases of a loose repair. FEA has been used to better understand the biomechanical role of cruciate ligaments in the knee joint. ACLr with bone-patellar tendon-bone graft at 60 N of pretension and double-bundle PCLr were closer to that of a native knee in terms of biomechanics. The addition of a lateral extra-articular augmentation technique can reduce 50% of tibial translation and internal rotation, protecting the graft and minimizing the risk of re-rupture. Interestingly, anatomic and non-anatomic medial patellofemoral ligament reconstruction increased the pressure applied to the patellofemoral joint by increasing patellar contact pressure to 0.14 MPa at 30° of knee flexion using the semitendinosus as a graft. After all the advances in medical imaging technologies, future studies should take into consideration patient-specific data on both anatomy and mechanics, in order to better personalize the experimental model.","PeriodicalId":46378,"journal":{"name":"SICOT-J","volume":"10 ","pages":"45"},"PeriodicalIF":1.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11527424/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142559114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Therapeutic effect of intramedullary reaming and nailing for long bones lengthening in children with Ollier disease and Maffucci syndrome on enchondromas: multicentric retrospective case series. 奥利埃病和马夫奇综合征患儿长骨延长术中髓内扩孔和打钉对软骨瘤的治疗效果：多中心回顾性病例系列。

IF 1.8

SICOT-J Pub Date : 2024-01-01 Epub Date: 2024-10-25 DOI: 10.1051/sicotj/2024035

Soline Bonneau, Samuel Georges, Bernard Fraisse, Edouard Haumont, Yan Lefèvre, Nicolas Bremond, Zagorka Pejin, Philippe Violas

{"title":"Therapeutic effect of intramedullary reaming and nailing for long bones lengthening in children with Ollier disease and Maffucci syndrome on enchondromas: multicentric retrospective case series.","authors":"Soline Bonneau, Samuel Georges, Bernard Fraisse, Edouard Haumont, Yan Lefèvre, Nicolas Bremond, Zagorka Pejin, Philippe Violas","doi":"10.1051/sicotj/2024035","DOIUrl":"https://doi.org/10.1051/sicotj/2024035","url":null,"abstract":"Introduction: Leg length discrepancy (LLD) and malalignment of long bones are frequent orthopedic problems encountered in Maffucci syndrome and Ollier disease (OD). Orthopedic surgeons used historically external fixators to address the deformities. In this multicentric case series, we propose the use of motorized intramedullary nails.Methods: We retrospectively reviewed for 9 years, in four different centers, patients with OD and Maffucci's syndrome that had lengthening nails for LLD with or without associated deformities. The minimum follow-up period was 24 months. We reported complications, clinical tolerance of lengthening, lengthening rate and target, bone healing index, and EQ-5D-Y functional and visual analog scores (VAS). We also saw on X-rays the whole lengthened bone and its regenerate zone to assess the evolution of the enchondromas.Results: we used the nailing technique in 8 femurs and 2 tibias in 8 patients (mean age: 13.3 years, range: 11-16, mean follow-up time: 53.8 months, range: 26-108). The mean correction amount was 6.44 cm for the femur over 76.8 days and 3.75 cm over 44 days for the tibia with a mean VAS score of 6.63/15 and mean EQ-5D-Y of 81/100. The lengthening goal was achieved in all patients. No mechanical complications were noted. The medullary canal of the operated bones showed improvement and healing in 8 out of 10 segments.Discussion: Besides achieving the goals of surgery with good functional outcomes, lengthening nails has a therapeutic effect on enchondromas with fewer complications than traditional correction methods.","PeriodicalId":46378,"journal":{"name":"SICOT-J","volume":"10 ","pages":"43"},"PeriodicalIF":1.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11504241/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510165","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comparison between four different suture configurations for rotator cuff repair: a biomechanical animal study. 肩袖修复术中四种不同缝合方式的比较：一项生物力学动物实验。

IF 1.8

SICOT-J Pub Date : 2024-01-01 Epub Date: 2024-10-07 DOI: 10.1051/sicotj/2024038

Yahia Haroun, Mohamed H Sobhy, Hany A Khater, Ahmad H Khater

{"title":"Comparison between four different suture configurations for rotator cuff repair: a biomechanical animal study.","authors":"Yahia Haroun, Mohamed H Sobhy, Hany A Khater, Ahmad H Khater","doi":"10.1051/sicotj/2024038","DOIUrl":"https://doi.org/10.1051/sicotj/2024038","url":null,"abstract":"Introduction: The arthroscopic repair of a massive rotator cuff tear could be surgically challenging. There is a continuous argument regarding the best surgical technique and suture configuration used to treat massive rotator cuff tears. The purpose of this study was to assess the in vitro strength of the new double Mason-Allen suture and compare it to the commonly used other suture configurations.Methods: Twenty-five fresh sheep shoulders were randomly divided into five equal groups. Each group had their infraspinatus tendons cut and repaired with one of five suture configurations (simple, horizontal mattress, Mason-Allen, modified Mason-Allen, and double Mason-Allen) using Arthrex® 1.3 mm suture tape. The specimens were fixed to the test apparatus through their scapulae and hung with the repair tape to Sartorius® precision balance with sequential load increments till failure. The load to failure was measured for each of the five suture configurations.Results: Study data found the double Mason-Allen configuration to have the highest mean load to failure 423.30 ± 23.05 (Newtons), followed by modified Mason-Allen, Mason-Allen, horizontal mattress, and simple suture respectively.Conclusion: The double Mason-Allen repair configuration has the highest load to failure compared to the other known suture configuration to repair rotator cuff tears.","PeriodicalId":46378,"journal":{"name":"SICOT-J","volume":"10 ","pages":"39"},"PeriodicalIF":1.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11458134/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394164","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Proximal femoral nailing for unstable trochanteric fractures: lateral decubitus position or traction table? A case-control study of 96 patients. 股骨近端钉治疗不稳定转子间骨折：侧卧位还是牵引床？96例患者的病例对照研究。

IF 16.4

SICOT-J Pub Date : 2024-01-01 Epub Date: 2024-11-08 DOI: 10.1051/sicotj/2024041

Mohamed I Abulsoud, Mohamed A A Ibrahim, Ahmed Saied Mohammed, Mohammed Elmarghany, Usama Gaber, Elsherbiny Ali Elsherbiny, Samir A Nematallah, Mohamed Amer Mohamed, Mohamed F Elhalawany, Yahia A Hasanien, Mostafa Abonnour

{"title":"Proximal femoral nailing for unstable trochanteric fractures: lateral decubitus position or traction table? A case-control study of 96 patients.","authors":"Mohamed I Abulsoud, Mohamed A A Ibrahim, Ahmed Saied Mohammed, Mohammed Elmarghany, Usama Gaber, Elsherbiny Ali Elsherbiny, Samir A Nematallah, Mohamed Amer Mohamed, Mohamed F Elhalawany, Yahia A Hasanien, Mostafa Abonnour","doi":"10.1051/sicotj/2024041","DOIUrl":"10.1051/sicotj/2024041","url":null,"abstract":"Purpose: This study aimed to compare the treatment of unstable intertrochanteric femoral fractures with short proximal femoral nailing in elderly patients in the lateral decubitus position versus the supine position on traction tables.Methods: From June 2020 to January 2022, a prospective case-control study was performed on 96 patients who presented with unstable trochanteric fractures treated by internal fixation via short proximal femoral nail (PFN). Patients were divided into two groups: Group A, which included patients who underwent surgery in the lateral position; and Group B, which included those in the supine position. Both groups were subjected to follow-up for 12 months.Results: The mean setup time, surgery time, and blood loss were significantly greater in Group B than in Group A, while the hospital stay and fluoroscopy duration were similar in both groups. Regarding reduction quality and fixation (TAD (tip-apex distance), CDA (collodiaphyseal angle), and Reduction CRQC (change reduction quality criterion)), there were no statistically significant differences between the two groups; moreover, there were no intraoperative or postoperative complications in either group or the Harris hip score (67.65 ± 17.06 in Group A vs. 67.15 ± 17.05 in Group B).Conclusion: The lateral decubitus and supine positions on a traction table are suitable for proximal femoral nailing with comparable outcomes, and surgeons can use either position according to their preferences and resources.","PeriodicalId":46378,"journal":{"name":"SICOT-J","volume":"10 ","pages":"47"},"PeriodicalIF":16.4,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11545368/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142606826","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Erratum to: "Peer-reviewed publications in orthopaedic surgery from lower income countries: A comparative analysis". 勘误："来自低收入国家的矫形外科同行评审出版物：比较分析"。

IF 1.6

SICOT-J Pub Date : 2024-01-01 Epub Date: 2024-05-16 DOI: 10.1051/sicotj/2024014

Sanjeev Sabharwal, Andrea Leung, Joel Johansen Bwemelo, Patricia Rodarte, Annelise S Taylor, Gurbinder Singh, Josephine Tan, Richard Trott

引用次数: 0

Point of care testing for the diagnosis of periprosthetic joint infections: a review. 用于诊断假体周围关节感染的护理点检测：综述。

IF 1.8

SICOT-J Pub Date : 2024-01-01 Epub Date: 2024-06-07 DOI: 10.1051/sicotj/2024019

Pavlos Altsitzioglou, Konstantinos Avgerinos, Vasileios Karampikas, Panayiotis Gavriil, Apostolos Vlachos, Fotini Soucacou, Ioannis Zafiris, Vasileios Kontogeorgakos, Panayiotis J Papagelopoulos, Andreas F Mavrogenis

{"title":"Point of care testing for the diagnosis of periprosthetic joint infections: a review.","authors":"Pavlos Altsitzioglou, Konstantinos Avgerinos, Vasileios Karampikas, Panayiotis Gavriil, Apostolos Vlachos, Fotini Soucacou, Ioannis Zafiris, Vasileios Kontogeorgakos, Panayiotis J Papagelopoulos, Andreas F Mavrogenis","doi":"10.1051/sicotj/2024019","DOIUrl":"10.1051/sicotj/2024019","url":null,"abstract":"Background: Periprosthetic joint infection (PJI) remains a major complication following total joint arthroplasties (TJA), significantly affecting patient outcomes and healthcare costs. Despite advances in diagnostic techniques, challenges persist in accurately diagnosing PJI, underscoring the need for effective point-of-care testing (POCT).Methods: This review examines the current literature and latest developments in POCT for diagnosing PJI, focusing on biomarkers such as alpha-defensin, leukocyte esterase, calprotectin, and C-reactive protein (CRP). Criteria from various societies like the Musculoskeletal Infection Society, Infectious Diseases Society of America, and the International Consensus Meeting were compared to evaluate the effectiveness of these biomarkers in a point-of-care setting.Results: POCT provides rapid results essential for the timely management of PJI, with alpha-defensin and leukocyte esterase showing high specificity and sensitivity. Recent advancements have introduced novel biomarkers like calprotectin, which demonstrate high diagnostic accuracy. However, challenges such as the variability in test performance and the need for validation under different clinical scenarios remain.Discussion: While POCT for PJI shows promising results, their integration into clinical practice requires standardized protocols and further validation. The evolution of these diagnostic tools offers a potential shift toward more personalized and immediate care, potentially improving outcomes for patients undergoing TJA.","PeriodicalId":46378,"journal":{"name":"SICOT-J","volume":"10 ","pages":"24"},"PeriodicalIF":1.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11160401/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141284997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Autofusion in growing rod surgery for early onset scoliosis; what do we know so far? 早发性脊柱侧弯症生长棒手术中的自融合；我们目前了解多少？

IF 1.6

SICOT-J Pub Date : 2024-01-01 Epub Date: 2024-04-30 DOI: 10.1051/sicotj/2024011

Amr Hatem, Essam Mohamed Elmorshidy, Amer Elkot, Khaled Mohamed Hassan, Mohammad El-Sharkawi

{"title":"Autofusion in growing rod surgery for early onset scoliosis; what do we know so far?","authors":"Amr Hatem, Essam Mohamed Elmorshidy, Amer Elkot, Khaled Mohamed Hassan, Mohammad El-Sharkawi","doi":"10.1051/sicotj/2024011","DOIUrl":"https://doi.org/10.1051/sicotj/2024011","url":null,"abstract":"The evolving landscape of early onset scoliosis management has shifted from the traditional paradigm of early definitive spinal fusion towards modern growth-friendly implants, particularly Growing Rods (GR). Despite the initial classification of GR treatment as a fusionless procedure, the phenomenon of autofusion has emerged as a critical consideration in understanding its outcomes. Studies have demonstrated the presence of autofusion since the early 1980s. The consequences of autofusion are extensive, impacting curve correction, diminishing trunk growth rate, and contributing to the \"law of diminishing returns\" in growing rod surgery. The literature suggests that autofusion may complicate definitive fusion surgery, leading to prolonged and intricate procedures involving multiple osteotomies. Additionally, it poses challenges in identifying anatomical landmarks during surgery, potentially increasing the risk of complications and revisions. While autofusion poses challenges to achieving optimal outcomes in growing rod treatment, it cannot be considered a standalone replacement for definitive fusion. Recent advances aim to limit autofusion and enhance treatment outcomes. In this review, we will delve into the existing literature on autofusion, examining studies that have documented its presence, probable causes, pathophysiology, potential implications for long-term patient outcomes, and possible new implants and techniques that decrease its incidence.","PeriodicalId":46378,"journal":{"name":"SICOT-J","volume":"10 ","pages":"15"},"PeriodicalIF":1.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11060050/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140852834","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Modified triple pelvic osteotomy for residual acetabular dysplasia through double incisions: Technical note and review of short-term results. 通过双切口进行改良三骨盆截骨术治疗残余髋臼发育不良：技术说明和短期效果回顾。

IF 1.6

SICOT-J Pub Date : 2024-01-01 Epub Date: 2024-04-30 DOI: 10.1051/sicotj/2024012

Ahmad S Aly, Tamer A Fayyad, Shady S El-Beshry, Karim T Elhusseiny, Ahmed K El Ghazawy

{"title":"Modified triple pelvic osteotomy for residual acetabular dysplasia through double incisions: Technical note and review of short-term results.","authors":"Ahmad S Aly, Tamer A Fayyad, Shady S El-Beshry, Karim T Elhusseiny, Ahmed K El Ghazawy","doi":"10.1051/sicotj/2024012","DOIUrl":"https://doi.org/10.1051/sicotj/2024012","url":null,"abstract":"Purpose: To assess validity, safety, and efficacy of the modified triple pelvic osteotomy (TPO) approach for correction of residual acetabular dysplasia.Methods: This is a retrospective case series conducted on 15 hips in 15 patients from 2019 to 2023 with residual acetabular dysplasia treated by modified TPO as described by Tonnis with two modifications. The first modification is using a single medial incision for pubic and ischial cuts (the Vladimirov modification). The second modification is having the ischial cut closer to the acetabulum (Li modification) allowing free movement of the acetabular fragment for better femoral head coverage. The mean age at the time of surgery was 11.85 years, (range 8-23). Cases presenting were 10 males (66.7%) and 5 females (33.3%). The mean follow-up period was 36.533 months (24-60 months).Results: Our study revealed significant clinical and radiological improvement. The CE angle improved from a mean value of 10° (range 2-17) pre-operatively to 32.785° (range 18°-40°) post-operatively. The AI improved from a mean value of 32° pre-operatively to a mean value of 13.89° post-operatively. HHS increased from a preoperative mean value of 74.80° to a post-operative mean value of 90.67°. Also, there was a significant improvement in ROM (abduction and internal rotation). LLD improved from a mean value of 2.60 cm preoperatively to a mean value of 0.37 cm postoperatively. Delayed union was found in 3 cases. No cases of osteonecrosis or neurovascular complication were encountered in our study.Conclusion: The modified TPO technique using dual incisions can be considered safe and effective, providing adequate coverage of the femoral head in acetabular dysplasia with less surgical time, satisfactory functional outcomes, and minimal complications.Level of evidence: IV.","PeriodicalId":46378,"journal":{"name":"SICOT-J","volume":"10 ","pages":"14"},"PeriodicalIF":1.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11060049/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140855576","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evaluation of meniscal injury on magnetic resonance imaging and knee arthroscopy in patient with anterior cruciate ligament tear. 前交叉韧带撕裂患者半月板损伤的磁共振成像和膝关节镜评价。

IF 1.8

SICOT-J Pub Date : 2024-01-01 Epub Date: 2024-12-12 DOI: 10.1051/sicotj/2024051

Toan Thanh Vo, Duc Thien Nguyen, Nguyen Anh Dinh Le, Ky Hien Van Nguyen, Hiep Khanh Vuu, Tu Anh Le, Nguyen Ba Le Phan

{"title":"Evaluation of meniscal injury on magnetic resonance imaging and knee arthroscopy in patient with anterior cruciate ligament tear.","authors":"Toan Thanh Vo, Duc Thien Nguyen, Nguyen Anh Dinh Le, Ky Hien Van Nguyen, Hiep Khanh Vuu, Tu Anh Le, Nguyen Ba Le Phan","doi":"10.1051/sicotj/2024051","DOIUrl":"10.1051/sicotj/2024051","url":null,"abstract":"Introduction: Meniscal injuries often occur in association with anterior cruciate ligament (ACL) injury. Failure to detect meniscal tears in patients with ACL injuries can lead to more complex tears and make them more difficult to repair.Objective: To determine the degree of correlation between magnetic resonance imaging (MRI) and knee arthroscopy in diagnosing meniscal injuries in patients with ACL tears.Methods: A prospective descriptive study was conducted on 185 patients diagnosed with ACL tears through knee arthroscopy at Thong Nhat Hospital from April 2023 to April 2024.Results: The accuracy of MRI and its correlation with arthroscopy in detecting meniscal injuries is 69.2%, indicating a low degree of agreement between MRI and arthroscopy results. Diagnosis of meniscal injury location has an accuracy of 57.1%, indicating a minimal to low degree of agreement between MRI and arthroscopy results. Diagnosis of the injury region: Accuracy over 85%, with Kappa coefficients ranging from 0.3 to 0.59, p < 0.001. Diagnosis of the morphology of meniscal injuries: Accuracy over 89%, with Kappa coefficients ranging from 0.26 to 0.66, p < 0.001.Conclusion: There is a minimal to moderate correlation between MRI and arthroscopy in detecting, and diagnosing the location, region, and morphology of meniscal injuries in patients with ACL tears. Therefore, caution is advised when diagnosing meniscal injuries based solely on MRI findings in patients with ACL tears.","PeriodicalId":46378,"journal":{"name":"SICOT-J","volume":"10 ","pages":"56"},"PeriodicalIF":1.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11636179/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814542","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

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