Revascularization to the bone tunnel wall after anterior cruciate ligament reconstruction may relate to the distance from the vessels
10.1186/s43019-020-00070-3
- Author:
Yuji ARAI
1
;
Kunio HARA
;
Hiroaki INOUE
;
Hitoshi KANAMURA
;
Shuji NAKAGAWA
;
Satoru ATSUMI
;
Yasuo MIKAMI
Author Information
1. Department of Sports and Para-Sports Medicine, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, 465, Kajiicho, Kawaramachi-Hirokoji, Kamigyo-Ku, Kyoto, Kyoto 602-8566, Japan
- Publication Type:R E S E A R C H A R T I C L E
- From:The Journal of Korean Knee Society
2020;32(4):e53-
- CountryRepublic of Korea
- Language:English
-
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 multistranded 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.
