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https://hdl.handle.net/11499/9878
Title: | Sonoelastographic evaluation of the distal femoral cartilage in patients with anterior cruciate ligament reconstruction | Authors: | Akkaya, Semih Akkaya, Nuray. Güngör, Harun Reşit Ağladıoğlu, Kadir Ök, Nusret Özçakar, Levend |
Keywords: | Anterior cruciate ligament Distal femoral cartilage Elastography Strain ratio Ultrasound adult anterior cruciate ligament reconstruction cartilage clinical article female femur follow up hamstring human Lysholm score male muscle strength muscle training patella ligament patient satisfaction surgery tendon graft thickness ultrasound adverse effects anterior cruciate ligament echography elastography femoral head injuries joint instability knee pathology pathophysiology Postoperative Complications procedures treatment outcome Adult Anterior Cruciate Ligament Anterior Cruciate Ligament Reconstruction Cartilage Elasticity Imaging Techniques Female Femur Head Follow-Up Studies Humans Joint Instability Knee Joint Male Treatment Outcome |
Publisher: | Turkish Joint Diseases Foundation | Abstract: | Objectives: This study aims to evaluate sonoelastographic properties of the distal femoral cartilage in patients with anterior cruciate ligament (ACL) reconstruction. Patients and methods: Demographic characteristics and operative data of 28 patients (27 males, 1 female; mean age 31.7±7.1 years; range 22 to 48 years) with unilateral ACL reconstruction were evaluated. Reconstruction was performed with patellar tendon graft in 22 patients (78.6%) and hamstring tendon graft in six patients (21.4%). Lysholm knee score was used for functional evaluation and chair stand test was used for lower extremity strength. Medial, intercondylar, and lateral distal femoral cartilage thicknesses of operated knees and healthy knees were measured with B-mode ultrasound, while strain ratios were measured with real time sonoelastography. Results: Postoperative mean follow-up duration was 20.4±9.8 months. Mean Lysholm knee and patient satisfaction scores were 88.0±8.5 and 8.2±1.8, respectively. Cartilage thicknesses were similar between operated and healthy knees (all p>0.05). Sonoelastographic strain ratio of medial distal femoral cartilage in operated knees was significantly higher (softer cartilage) (p=0.026). There was a negative correlation between strain ratio difference of medial cartilage of operated knees and lower extremity muscle strength (p=0.009, r= -0.487). Conclusion: While there was no difference for cartilage thickness between operated and healthy knees in B-mode ultrasound evaluation, detection of sonoelastographic strain ratio changes in medial distal femoral cartilage on the operated sides may indicate early structural changes following ACL reconstruction. Further studies are required to highlight the clinical effects of this relationship between the changes in cartilage structure and sonoelastography features. | URI: | https://hdl.handle.net/11499/9878 https://doi.org/10.5606/ehc.2016.02 |
ISSN: | 1305-8282 |
Appears in Collections: | PubMed İndeksli Yayınlar Koleksiyonu / PubMed Indexed Publications Collection Scopus İndeksli Yayınlar Koleksiyonu / Scopus Indexed Publications Collection Tıp Fakültesi Koleksiyonu TR Dizin İndeksli Yayınlar Koleksiyonu / TR Dizin Indexed Publications Collection WoS İndeksli Yayınlar Koleksiyonu / WoS Indexed Publications Collection |
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semih akkaya nuray akkaya h.r.güngör k.ağladıoğlu.pdf | 333.66 kB | Adobe PDF | View/Open |
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