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MRI evaluation of ATFL and CFL ligamentization after anatomical surgical reconstruction with a hamstring graft.
Bilichtin, E; Rougereau, G; Rollet, M E; De Rousiers, A; Elkaïm, M; Rousselin, B; Bauer, T; Hardy, A.
Afiliación
  • Bilichtin E; Hopital Ambroise Paré, Boulogne, France.
  • Rougereau G; Hopital Ambroise Paré, Boulogne, France; Hospital Pitié Salpetrière, Paris, France. Electronic address: greg.rougereau@gmail.com.
  • Rollet ME; Hopital Ambroise Paré, Boulogne, France; Hospital Pitié Salpetrière, Paris, France.
  • De Rousiers A; Hopital Ambroise Paré, Boulogne, France.
  • Elkaïm M; Clinique de Tournan en Brie, Tournan en Brie, France.
  • Rousselin B; Hopital Ambroise Paré, Boulogne, France.
  • Bauer T; Hopital Ambroise Paré, Boulogne, France.
  • Hardy A; Clinique du Sport Paris 5, Paris, France.
Foot Ankle Surg ; 2024 Jul 10.
Article en En | MEDLINE | ID: mdl-39112114
ABSTRACT

BACKGROUND:

Chronic ankle instability is frequent complication following ankle sprains. Anatomical reconstruction of the anterior talofibular ligament (ATFL) and the calcaneofibular ligament (CFL) with a gracilis autograft is a validated reconstruction technique. The signal-to-noise quotient ankle (SNQA) score evaluates graft maturation with MRI and has been shown to be reproducible and reliable. The goal of this study was to evaluate the process of ligamentization of the anatomical reconstruction of the ankle using the SNQA. The hypothesis was that the SNQA signal of the ATFL and the CFL would decrease over time.

METHODS:

A prospective cohort of patients who underwent arthroscopic anatomical ATFL-CFL reconstruction was included. All patients underwent a follow-up MRI examination 3, 6. and 12 months after surgery and the SNQA score was determined.

RESULTS:

Twenty consecutive patients were included. The SNQA score decreased significantly over time for the ATFL (p = 0.001), the CFL (p < 0.001) and for the fibular bone tunnel-graft interface (p = 0.02). The SNQA scores of the ATFL were significantly higher than those of the CFL at 3 months (p = 0.01), 6 months (p = 0.003) and 12 months (p < 0.001), and then those of the fibular tunnel-graft interface at 12 months (p = 0.003). There was no difference in the SNQA score between the CFL and in the fibular graft-bone tunnel interface at any of the follow up periods.

CONCLUSION:

There is a process of graft maturation following anatomical ATFL and CFL reconstruction over time, which is faster for the CFL than for the ATFL during the first year. LEVEL OF EVIDENCE II.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Foot Ankle Surg Asunto de la revista: ORTOPEDIA Año: 2024 Tipo del documento: Article País de afiliación: Francia Pais de publicación: Francia
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Foot Ankle Surg Asunto de la revista: ORTOPEDIA Año: 2024 Tipo del documento: Article País de afiliación: Francia Pais de publicación: Francia