Visualization of torn anterior cruciate ligament using 3-dimensional computed tomography

Recently, a remnant-preserving anterior cruciate ligament (ACL) reconstruction technique has been developed. However, the pre-operative condition of remnant ACL is occasionally difficult to evaluate by magnetic resonance imaging. The purpose of this study is to evaluate the accuracy of pre-operative...

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Main Authors: Hiroaki Uozumi, Toshimi Aizawa, Takehiko Sugita, Tomonori Kunii, Shun Abe, Eiji Itoi
Format: Article
Language:English
Published: Open Medical Publishing 2013-07-01
Series:Orthopedic Reviews
Subjects:
Online Access:http://www.pagepress.org/journals/index.php/or/article/view/4669
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author Hiroaki Uozumi
Toshimi Aizawa
Takehiko Sugita
Tomonori Kunii
Shun Abe
Eiji Itoi
author_facet Hiroaki Uozumi
Toshimi Aizawa
Takehiko Sugita
Tomonori Kunii
Shun Abe
Eiji Itoi
author_sort Hiroaki Uozumi
collection DOAJ
description Recently, a remnant-preserving anterior cruciate ligament (ACL) reconstruction technique has been developed. However, the pre-operative condition of remnant ACL is occasionally difficult to evaluate by magnetic resonance imaging. The purpose of this study is to evaluate the accuracy of pre-operative visualization of remnant ACL using three-dimensional computed tomography (3D-CT). The remnant ACL in 25 patients was examined by 3D-CT before ACL reconstruction surgery. Findings on 3D-CT images and arthroscopy were compared. The 3D-CT images were classified into 4 groups: Group A, remnant fibers attached to the posterior cruciate ligament (PCL); Group B, those located between the PCL and the lateral wall; Group C, those attached to the lateral wall; and Group D, no identifiable remnant fibers on the tibial side. These groups were made up of 4, 3, 9 and 9 patients, respectively. Findings on 3D-CT images were identical to those during arthroscopy in 20 of 25 cases (80%). Remnant ACL can be accurately evaluated using 3D-CT in 80% of cases of torn ACL. This novel method is a useful technique for pre-operative assessment of remnant ACL.
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spelling doaj.art-8ab6c4e4a6d14408a218aad934c042402022-12-21T22:57:42ZengOpen Medical PublishingOrthopedic Reviews2035-82372035-81642013-07-0153e22e2210.4081/or.2013.e222575Visualization of torn anterior cruciate ligament using 3-dimensional computed tomographyHiroaki Uozumi0Toshimi Aizawa1Takehiko Sugita2Tomonori Kunii3Shun Abe4Eiji Itoi5Department of Orthopaedic Surgery, Hiraka General Hospital, YokoteDepartment of Orthopaedic Surgery, Tohoku University School of Medicine, SendaiDepartment of Orthopaedic Surgery, Tohoku Orthopaedic Clinic, SendaiDepartment of Orthopaedic Surgery, Hiraka General Hospital, YokoteDepartment of Radiology, Hiraka General Hospital, YokoteDepartment of Orthopaedic Surgery, Tohoku University School of Medicine, SendaiRecently, a remnant-preserving anterior cruciate ligament (ACL) reconstruction technique has been developed. However, the pre-operative condition of remnant ACL is occasionally difficult to evaluate by magnetic resonance imaging. The purpose of this study is to evaluate the accuracy of pre-operative visualization of remnant ACL using three-dimensional computed tomography (3D-CT). The remnant ACL in 25 patients was examined by 3D-CT before ACL reconstruction surgery. Findings on 3D-CT images and arthroscopy were compared. The 3D-CT images were classified into 4 groups: Group A, remnant fibers attached to the posterior cruciate ligament (PCL); Group B, those located between the PCL and the lateral wall; Group C, those attached to the lateral wall; and Group D, no identifiable remnant fibers on the tibial side. These groups were made up of 4, 3, 9 and 9 patients, respectively. Findings on 3D-CT images were identical to those during arthroscopy in 20 of 25 cases (80%). Remnant ACL can be accurately evaluated using 3D-CT in 80% of cases of torn ACL. This novel method is a useful technique for pre-operative assessment of remnant ACL.http://www.pagepress.org/journals/index.php/or/article/view/4669anterior cruciate ligament, remnant fibers, 3-dimensional computed tomography, arthroscopy
spellingShingle Hiroaki Uozumi
Toshimi Aizawa
Takehiko Sugita
Tomonori Kunii
Shun Abe
Eiji Itoi
Visualization of torn anterior cruciate ligament using 3-dimensional computed tomography
Orthopedic Reviews
anterior cruciate ligament, remnant fibers, 3-dimensional computed tomography, arthroscopy
title Visualization of torn anterior cruciate ligament using 3-dimensional computed tomography
title_full Visualization of torn anterior cruciate ligament using 3-dimensional computed tomography
title_fullStr Visualization of torn anterior cruciate ligament using 3-dimensional computed tomography
title_full_unstemmed Visualization of torn anterior cruciate ligament using 3-dimensional computed tomography
title_short Visualization of torn anterior cruciate ligament using 3-dimensional computed tomography
title_sort visualization of torn anterior cruciate ligament using 3 dimensional computed tomography
topic anterior cruciate ligament, remnant fibers, 3-dimensional computed tomography, arthroscopy
url http://www.pagepress.org/journals/index.php/or/article/view/4669
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