MAGNETIC RESONANCE IMAGING ASSESSMENT OF POST OPERATIVE COMPLICATIONS OF ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION .

Document Type : Preliminary preprint short reports of original research

Authors

1 Department of diagnostic and interventional radiology

2 Department of orthopaedic surgery and traumatology*, Faculty of Medicine, Alexandria University

3 Department of Radiodiagnosis and Intervention, Faculty of Medicine, Alexandria University.

4 Department of Radiodiagnosis and Intervention, Faculty of Medicine, Alexandria University

Abstract

Introduction:
Anterior cruciate ligament reconstruction is one of the most common orthopaedic procedures performed worldwide. The main complications seen after ACL reconstruction procedures found in patients with decreased range of motion are impingement and arthrofibrosis. Less common causes of decreased range of motion include intra-articular bodies, which may be secondary to an associated chondral injury during trauma and also ganglion cysts that occur within the graft as a late complication. Other complications which lead to laxity are Graft tear and stretching. Grafts are most susceptible to injury during the remodeling process, which occurs approximately 4–8 months after surgery.
Aim of the work:
The aim of this study was to highlight the MRI findings of complications following ACL reconstruction.
Subjects and methods :
Patients:
This was a prospective study that included 34 symptomatic patients attending the Radiodiagnosis Department at Alexandria University Hospitals for assessment of knee joint by conventional MRI after ACL reconstruction.
Methods:
All patients were subjected To:
• Full history taking.
• Plain x-ray of the knee joint including AP and lateral views.
• MRI Examination :
MR images of the knee were acquired by using a 1.5-T system with the manufacturer’s knee coil. The patients were laid in a supine position , feet first, positioned the knee in the knee coil, and immobilized with cushions. The images were obtained in the following sequences: axial, sagittal T2 and PDWI with fat suppression and coronal PDWI with fat suppression were obtained.

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