Magnetic resonance imaging assessment for unicompartmental knee replacement: a limited role.
The purpose of this study was to see if MRI has a role in pre-operative assessment of patients for unicompartmental knee replacement. Until now, surgeons have been unable to predict whether a patient is suitable until the operation itself when the anterior cruciate ligament is inspected. We found that 33% of patients with anteromedial osteoarthritis had a degenerate anterior cruciate ligament according to magnetic resonance imaging, compared to only 13% on surgical inspection. We conclude that MRI is too sensitive to changes of the anterior cruciate ligament to be of much practical value.
Sharpe
I
I
Royal Shrewsbury Hospital, Shrewsbury, Shropshire SY3 8XQ, UK.
Tyrrell
P N
PN
White
S H
SH
D016118:Anterior Cruciate Ligament / Q000473:pathology; D019645:Arthroplasty, Replacement, Knee; D004311:Double-Blind Method; D006801:Humans; D008279:Magnetic Resonance Imaging; D020370:Osteoarthritis, Knee / Q000473:pathology / Q000601:surgery*; D011237:Predictive Value of Tests; D011300:Preoperative Care