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MRI-based tendon bone healing is related to the clinical functional scores at the first year after anterior cruciate ligament reconstruction with hamstring tendon autograft

  • Knee
  • Published:
Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

Abstract

Purpose

The correlation between tendon bone healing and clinical functional scores after anterior cruciate ligament reconstruction (ACLR) using four-stranded hamstring tendon autograft has rarely being reported. The purpose of this study was to determine the correlation between magnetic resonance imaging (MRI)-based tendon bone healing and clinical functional scores after ACLR using hamstring tendon.

Methods

Thirty-eight patients with ACLR using four-stranded hamstring tendon autograft were included in this prospective study in the authors’ hospital from 2013 to 2014. All patients were performed Tegner, Lysholm, International Knee Documentation Committee (IKDC) subjective scores, KT-1000 and MRI examinations in 3, 6, 12 months after the operation, respectively. According to MRI, the healing degree of tendon bone was divided into five grades, and the healing degree of the tendon at different time points was evaluated. Moreover, the correlations between the clinical scores and tendon bone healing level at 12 months after the operation were determined.

Results

The Tegner, Lysholm, and IKDC scores of all patients were gradually improved over time after ACLR, and the degree of tendon bone healing was gradually increased. Moreover, there were significantly positive correlations between the level of tendon bone healing and the clinical functional scores at 12 months after the operation.

Conclusion

The clinical functional scores and the degree of tendon bone healing were gradually improved over time after ACLR. Moreover, there were significant positive correlations between the level of tendon bone healing and clinical functional scores of knee joint at the first year after the operation.

Level of evidence

III.

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Acknowledgements

This work was supported by the National Natural Science Foundation of China (NSFC81472142) and Science and Technology Integrated Project of Shanghai Municipal Sports Bureau (15-z006).

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Authors and Affiliations

  1. Department of Sports Medicine and Arthroscopy Surgery, Huashan Hospital, Sports Medicine Center of Fudan University, No. 12 Urumq Middle Road, Shanghai, 200040, China

    Hong-Yun Li, Hong Li, Zi-Ying Wu, Ji-Wu Chen & Shi-Yi Chen

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  1. Hong-Yun Li
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  2. Hong Li
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  3. Zi-Ying Wu
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  4. Ji-Wu Chen
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Corresponding author

Correspondence to Ji-Wu Chen.

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Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

The study was approved by the Health Sciences Institutional Review Board of the hospital (Huashan Hospital Fudan University HIRB, 2011M-012).

Informed consent

Written consent was obtained from all participants.

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Li, HY., Li, H., Wu, ZY. et al. MRI-based tendon bone healing is related to the clinical functional scores at the first year after anterior cruciate ligament reconstruction with hamstring tendon autograft. Knee Surg Sports Traumatol Arthrosc 26, 615–621 (2018). https://doi.org/10.1007/s00167-017-4568-9

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  • DOI: https://doi.org/10.1007/s00167-017-4568-9

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