Memik TEKE, Mehmet Sedat DURMAZ, Cemil GÖYA, Salih HATTAPOĞLU, Cihad HAMİDİ

Ön Çapraz Bağ Greft Rekonstrüksiyonunda Görüntüleme Bulguları

Amaç: Ön çapraz bağ ÖÇB greft rekonstrüksiyonunun postoperatif direkt grafi , manyetik rezonans görüntüleme MRG normal bulgularını tanımlamak, operasyon sonrası gelişebilecek potansiyel komplikasyonlarının MRG bulgularını sunmaktır.Gereç ve Yöntemler: Çalışmaya ÖÇB rekonstrüksiyon cerrahisi geçirmiş 52 hasta alındı. Hastaların direkt grafi , manyetik rezonans görüntüleri ÖÇB greft bütünlüğü ve eşlik edebilecek komplikasyonlar açısından retrospektif olarak değerlendirildi.Bulgular: Çalışmaya alınan 52 hastanın 18’inde postoperatif patolojik bulgular saptandı. Dört hastada total greft rüptürü, bir hastada parsiyel greft rüptürü, iki hastada gevşek greft, 10 hastada anterior yerleşimli tibial tünel, sekiz hastada tepe impigement, iki hastada yan duvar impigement, dört hastada tünelde kistik genişleme, bir hastada patellar fraktür, iki hastada operasyon materyaline bağlı iliotibial band sürtünme sendromu ve dört hastada artrofi brozis saptandı.Sonuç: MRG, ÖÇB greftinin, tünellerin ve fi ksasyon materyallerinin pozisyonunu değerlendirmede, operasyon sonrası ağrı ve fonksiyon kaybının nedenini araştırmada kullanılabilen etkili bir görüntüleme yöntemidir

Anahtar Kelimeler:

Ön çapraz bağ, Greft rekonstrüksiyonu, MR görüntüleme

Imaging of Anterior Cruciate Ligament Graft Reconstruction Imaging of Anterior Cruciate Ligament Graft Reconstruction

Objective: The purpose of this study was to describe the postoperative X-Ray and magnetic resonance imaging MRI appearance of normal anterior cruciate ligament ACL graft reconstructions and to demonstrate most common potential complications.Material and Methods: Fifty-two patients with ACL reconstruction were included in the study. The X-Ray and MRI scans were reviewed retrospectively for the assessment of integrity of the reconstructed ligament and the presence of related complications.Results: Pathologic fi ndings were observed in 18 of 52 ACL reconstruction operations; Four total ACL graft ruptures and one partial rupture, two loosening grafts, 10 anteriorly localized tibial tunnels, eight roof impingements, two side wall impingements, four cystic tunnel dilatations, one patellar fracture, two iliotibial band friction syndromes because of hardware related complications, and four arthrofi brosis cases were observed.Conclusion: MRI is an effective imaging technique for evaluating the position of ACL grafts, tunnels and fi xation materials and for investigating the cause of pain and loss of function

Keywords:

Anterior Cruciate Ligament, Graft reconstruction, MR imaging,

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