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The bone microstructure from anterior cruciate ligament footprints is similar after ligament reconstruction and does not affect long-term outcomes

PURPOSE: The purpose of this study was to assess the quality of the bone tissue microstructure from the footprints of the anterior cruciate ligament (ACL) and its impact on late follow-up outcomes in patients who undergo anterior cruciate ligament reconstruction (ACLR). METHODS: The records of 26 pa...

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Autores principales: Stolarz, Mateusz, Rajca, Jolanta, Cyganik, Paulina, Karpe, Jacek, Wrobel, Zygmunt, Binkowski, Marcin, Humpa, Filip, Janik, Małgorzata, Czyzewski, Damian, Kwiatkowski, Zbigniew, Ficek, Krzysztof
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8800921/
https://www.ncbi.nlm.nih.gov/pubmed/33609151
http://dx.doi.org/10.1007/s00167-021-06493-z
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author Stolarz, Mateusz
Rajca, Jolanta
Cyganik, Paulina
Karpe, Jacek
Wrobel, Zygmunt
Binkowski, Marcin
Humpa, Filip
Janik, Małgorzata
Czyzewski, Damian
Kwiatkowski, Zbigniew
Ficek, Krzysztof
author_facet Stolarz, Mateusz
Rajca, Jolanta
Cyganik, Paulina
Karpe, Jacek
Wrobel, Zygmunt
Binkowski, Marcin
Humpa, Filip
Janik, Małgorzata
Czyzewski, Damian
Kwiatkowski, Zbigniew
Ficek, Krzysztof
author_sort Stolarz, Mateusz
collection PubMed
description PURPOSE: The purpose of this study was to assess the quality of the bone tissue microstructure from the footprints of the anterior cruciate ligament (ACL) and its impact on late follow-up outcomes in patients who undergo anterior cruciate ligament reconstruction (ACLR). METHODS: The records of 26 patients diagnosed with a completely torn ACL who underwent ACLR were collected. During the surgery performed using the Felmet method, bone blocks from the native ACL footprints were collected. The primary measurements of the bone microstructure were made using a microtomographic scanner. In late follow-up examinations, a GNRB arthrometer was used. RESULTS: There was no significant difference in the bone microstructure assessed using micro-CT histomorphometric data according to the blood test results, plain radiographs, age or anthropometric data. There was no difference in the bone volume/total volume ratio or trabecular thickness in the area of the native ACL footprints. Routine preoperative examinations were not relevant to the quality of the bone microstructure. The elapsed time from an ACL injury to surgery had no relevance to the results of arthrometry. CONCLUSION: The similarities in the microstructure of bone blocks from ACL footprints from the femur and tibia allow the variable use of these blocks to stabilize grafts in the Felmet method. The bone microstructure is not dependent on the time from injury to surgery. Histomorphometric values of the structure of the femoral and tibial ACL footprints have no impact on the long-term stability of the operated knee joint. TRIAL REGISTRATION: The approval of the Bioethics Committee of the Silesian Medical Chamber in Katowice, Poland (resolution 16/2014) was given for this research. LEVEL OF EVIDENCE: II.
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spelling pubmed-88009212022-02-02 The bone microstructure from anterior cruciate ligament footprints is similar after ligament reconstruction and does not affect long-term outcomes Stolarz, Mateusz Rajca, Jolanta Cyganik, Paulina Karpe, Jacek Wrobel, Zygmunt Binkowski, Marcin Humpa, Filip Janik, Małgorzata Czyzewski, Damian Kwiatkowski, Zbigniew Ficek, Krzysztof Knee Surg Sports Traumatol Arthrosc Knee PURPOSE: The purpose of this study was to assess the quality of the bone tissue microstructure from the footprints of the anterior cruciate ligament (ACL) and its impact on late follow-up outcomes in patients who undergo anterior cruciate ligament reconstruction (ACLR). METHODS: The records of 26 patients diagnosed with a completely torn ACL who underwent ACLR were collected. During the surgery performed using the Felmet method, bone blocks from the native ACL footprints were collected. The primary measurements of the bone microstructure were made using a microtomographic scanner. In late follow-up examinations, a GNRB arthrometer was used. RESULTS: There was no significant difference in the bone microstructure assessed using micro-CT histomorphometric data according to the blood test results, plain radiographs, age or anthropometric data. There was no difference in the bone volume/total volume ratio or trabecular thickness in the area of the native ACL footprints. Routine preoperative examinations were not relevant to the quality of the bone microstructure. The elapsed time from an ACL injury to surgery had no relevance to the results of arthrometry. CONCLUSION: The similarities in the microstructure of bone blocks from ACL footprints from the femur and tibia allow the variable use of these blocks to stabilize grafts in the Felmet method. The bone microstructure is not dependent on the time from injury to surgery. Histomorphometric values of the structure of the femoral and tibial ACL footprints have no impact on the long-term stability of the operated knee joint. TRIAL REGISTRATION: The approval of the Bioethics Committee of the Silesian Medical Chamber in Katowice, Poland (resolution 16/2014) was given for this research. LEVEL OF EVIDENCE: II. Springer Berlin Heidelberg 2021-02-20 2022 /pmc/articles/PMC8800921/ /pubmed/33609151 http://dx.doi.org/10.1007/s00167-021-06493-z Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Knee
Stolarz, Mateusz
Rajca, Jolanta
Cyganik, Paulina
Karpe, Jacek
Wrobel, Zygmunt
Binkowski, Marcin
Humpa, Filip
Janik, Małgorzata
Czyzewski, Damian
Kwiatkowski, Zbigniew
Ficek, Krzysztof
The bone microstructure from anterior cruciate ligament footprints is similar after ligament reconstruction and does not affect long-term outcomes
title The bone microstructure from anterior cruciate ligament footprints is similar after ligament reconstruction and does not affect long-term outcomes
title_full The bone microstructure from anterior cruciate ligament footprints is similar after ligament reconstruction and does not affect long-term outcomes
title_fullStr The bone microstructure from anterior cruciate ligament footprints is similar after ligament reconstruction and does not affect long-term outcomes
title_full_unstemmed The bone microstructure from anterior cruciate ligament footprints is similar after ligament reconstruction and does not affect long-term outcomes
title_short The bone microstructure from anterior cruciate ligament footprints is similar after ligament reconstruction and does not affect long-term outcomes
title_sort bone microstructure from anterior cruciate ligament footprints is similar after ligament reconstruction and does not affect long-term outcomes
topic Knee
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8800921/
https://www.ncbi.nlm.nih.gov/pubmed/33609151
http://dx.doi.org/10.1007/s00167-021-06493-z
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