[MR tomography in autologous plastic repair of the anterior cruciate ligament: a comparison of 2 surgical methods].
The aim of this prospective MRI study was the analysis of the post-operative signals derived from two techniques for cruciate ligament reconstruction.


METHODS
Group 1 consisted of 15 patients who had undergone conventional plastic repair by patellar tendon transplant and group 2 was made up of 15 patients with arthroscopic reconstruction with semitendinosus grafts. They were examined at 6 weeks and 6 months post-operatively.


RESULTS
Typical appearances of normal transplants were found in 19 patients. After 6 months 8 of the patellar tendon transplants and three of the semitendinosus transplants could not be clearly defined. At this time there was a significant increase in signal intensity in the middle third of the transplant in group 1.


CONCLUSIONS
Bearing in mind the different operative techniques, there was a higher impingement rate in group 1. The post-operative MRI findings at 6 months after surgery allowed differentiation between pathological changes (impingement) and revascularisation (remodelling).
Abteilung für Radiologische Diagnostik, Klinikum Benjamin Franklin, FU Berlin.
F
F
Wacker
A
A
Schilling
S W
SW
Dihlmann
A
A
Zellner
H
H
König
K J
KJ
Wolf
D000293:Adolescent; D000328:Adult; D016118:Anterior Cruciate Ligament / Q000473:pathology* / Q000601:surgery*; D001182:Arthroscopy; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000295:instrumentation / Q000379:methods; D008722:Methods; D008875:Middle Aged; D010329:Patella; D011184:Postoperative Period; D011446:Prospective Studies; D013710:Tendons / Q000637:transplantation; D013997:Time Factors; D014182:Transplantation, Autologous
Die Kernspintomographie bei autologer Plastik des vorderen Kreuzbandes: Vergleich zweier Operationsmethoden.