Online ISSN: 2515-8260

Keywords : ACL


MRI evaluation of cruciate ligaments and associated injuries in knee joint

Dr. Gaurav Kant Sharma, Dr. Jai Chowdhary, Dr. Vineet Mishra, Dr. Sanyukta Gupta

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 2, Pages 2051-2057

The knee joint is one of the most frequently injured joints in the body. Since it is a weight bearing joint, it is consistently exposed to substantial force. The anterior and posterior cruciate ligaments play a vital role in stabilization of the knee joint. Loss of these restraints leads to substantial morbidity and can result in secondary dysfunction of other structures of the knee.
MR imaging of the knee is an excellent modality that detects lesions not always evident on arthroscopy and helps in planning and treatment of meniscal &ligament injuries. The aim of our study is to assess the accuracy of MR imaging in evaluation of cruciate ligament injuries of knee joint. To study and categorize the patterns of cruciate ligament injuries and associated bone and surrounding soft tissues on MRI. Also, to correlate the clinical profile of cruciate and associated ligament injuries with magnetic resonance imaging findings.
Fifty patients were examined on a 1.5 T GE MR system at Mahatma Gandhi Medical College, Jaipur for a time period of eighteen months from December 2019 to May 2021.
Conclusion of our study is that MRI is an excellent modality to detect the lesions in an injured knee. It has great capability in diagnosing meniscal tear and classifying them into grades. According to our study MRI is more sensitive than clinical tests to detect the cruciate ligaments and associated lesions. MRI is unique in its ability to evaluate the internal structure as well as the peripheral meniscal tears, and inferior surface tears. MRI being noninvasive does not involve morbidity associated with other tests like arthroscopy.

To measure the tibial and femoral footprint of ACL in Indian patients (with and without ACL injury) using MRI of normal patients, during (ACLR) and during TKR

Dr Irphan Shaikh, Dr Sameer Chaudhari, Dr Abhay Narvekar

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 1, Pages 1412-1423

Aim: To measure the tibial and femoral footprint of ACL in Indian patients (with and
without ACL injury) using MRI of normal patients, during (ACLR) and during TKR.
Materials and Methods: The present prospective study was conducted at PD HINDUJA
hospital and medical research center, Mumbai from March 2015 to November 2015
among 100 patients of Indian origin undergoing arthroscopy, TKR and MRI in our
hospital. We have taken three separate patients group undergoing different procedure
related to knee i.e. Group 1 (Arthroscopic ACL reconstruction), Group 2 (Total knee
replacement) and Group 3 (Diagnostic MRI). As MRI are done in extension of knee,
femoral footprint was in vertically oval plane, so calculating length of maximum
Supero-inferior measurement on MRI sequence of femoral footprint was giving us
length of femoral footprint. All above-mentioned readings were added in tabular form
in excel sheet master chart and was statistically analyzed using SPSS software version
24.

Comparison of functional outcome of arthroscopic anterior cruciate ligament reconstruction using an autologous fourstrand single semitendinosus tendon versus semitendinosus and gracilis tendon graft

Sagar Goel,Manoj Kumar,Keshav Vijan,Varun Gautam,Nikhil L Gore

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 4, Pages 2766-2779

Background: There is no consensus about the optimal graft choice for anterior cruciate
ligament (ACL) reconstruction. The present study was aimed to compare the clinical and
functional results of reconstruction of ACL by using an autologous four strand
semitendinosus tendon versus semitendinosus and gracilis graft.
Methodology and Results: Patients were randomized to undergo ACL repair either by
autologous four strand ST tendon or a ST and gracilis tendon graft. Baseline characteristics of
patients in the two study groups were similar. In the present study, 58 patients were included.
Mean age of the patients in the ST group was 27.34 ± 6.28 years and that in the STG group
was 26.34 ± 5.19 years. Road traffic accident was the most common mode of injury and most
common symptom at presentation was knee pain. It was found that among all patients
included in the study, 48.3% had 4 to 8 months since the time of injury. Mean time since
injury was 6.59 ± 2.7 months in the ST group and 6.42 ± 2.2 months in the STG group. LKSS
and IKDC values were significantly higher in the ST group as compared to STG group at 2
and 8 weeks post-operatively. Later on, at all follow up points, the mean LKSS and IKDC
were similar in the two study groups. Anterior drawer and Lachman test showed no statistical
difference between the two study groups.
Conclusion: Since ACL reconstruction using quadrupled ST is more technically demanding
than doubled STG and with there being no difference in outcomes, no compulsory advice
should be made on the former technique.