Arthroscopic Anterior Cruciate Ligament Injury in Clinical Treatment of Joint Complications and CT Observation

Overview

Journal J Healthc Eng

Specialty Biomedical Engineering

Date 2021 Mar 8

PMID 33680415

Citations 5

Authors

Cheng Ji

Yuan Chen

Liulong Zhu

Jian Zhang

Affiliations

Soon will be listed here.

Abstract

Arthroscopy is the gold standard for diagnosing ACL injuries. It is a dual clinical technique for examination and treatment, which can effectively target the injury site for repair and treatment and can also accurately identify the lesion site and determine the degree of ligament injury through visual and three-dimensional observation of ligament injuries that are difficult to detect on imaging. However, this technique is invasive, so the clinic still needs to improve the related auxiliary imaging examination. In this paper, we performed MPR and VRT on patients with ACL injury and postprocessed the data. The diagnostic compliance rate of dual-source CT was 91.67% (33/36), the true positive rate was 93.33% (28/30), the missed rate was 6.67% (2/30), the true negative rate was 83.33% (5/6), and the misdiagnosis rate was 83.33% (5/6). The rate of true negative was 83.33% (5/6), and the rate of false diagnosis was 16.67% (1/6). Kappa analysis of the consistency between dual-source CT and arthroscopy showed a Kappa value of 0.719, indicating a high degree of consistency between the two examinations. In conclusion, MPR and VRT images are of clinical value for the diagnosis of ACL injury. In addition, dual-source CT can measure the CT value of the ACL and the thickness of each segment by MPR and VRT postprocessing techniques to diagnose the ligament injury in an objective, quantitative, and noninvasive way and can use dual-energy staining techniques to predict the ligament injury in a more intuitive way, which is not available in some arthroscopes.

Citing Articles

Meta-analysis of the value of dual-energy computed tomography in the diagnosis of anterior cruciate ligament injuries of the knee.

Lin Q, Wu J, Qiu S BMC Musculoskelet Disord. 2024; 25(1):557.

PMID: 39020351 PMC: 11256425. DOI: 10.1186/s12891-024-07632-6.

Application of multiplanar reconstruction and 3D printing in anterior cruciate ligament revision.

Liang J, Wu S, Shen M, Lu A, Tan L, Luo J Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2024; 49(1):95-112.

PMID: 38615171 PMC: 11017017. DOI: 10.11817/j.issn.1672-7347.2024.230081.

Retracted: Arthroscopic Anterior Cruciate Ligament Injury in Clinical Treatment of Joint Complications and CT Observation.

Healthcare Engineering J J Healthc Eng. 2023; 2023:9847279.

PMID: 37860438 PMC: 10584439. DOI: 10.1155/2023/9847279.

Computed Tomography Imaging under Artificial Intelligence Reconstruction Algorithm Used in Recovery of Sports Injury of the Knee Anterior Cruciate Ligament.

Zhang H, Zheng H, Deng R, Luo K, Duan S Contrast Media Mol Imaging. 2022; 2022:1199841.

PMID: 35685654 PMC: 9167137. DOI: 10.1155/2022/1199841.

Dynamic Ultrasound Assessment of the Anterior Tibial Translation for Anterior Cruciate Ligament Tears Diagnostic.

Stoianov A, Patrascu J, Hogea B, Andor B, Misca L, Florescu S J Clin Med. 2022; 11(8).

PMID: 35456244 PMC: 9025438. DOI: 10.3390/jcm11082152.

References

Bianchi S, Fischer B, Prues-Latour V, Wyssa B . Ultrasound Appearances of Complications After Arthroscopic Anterior Cruciate Ligament Reconstruction. J Ultrasound Med. 2019; 39(1):169-179. DOI: 10.1002/jum.15077. View

Kim S, Lee S, Kim K, Yang J . Diagnostic Accuracy of Sequential Arthroscopic Approach for Ramp Lesions of the Posterior Horn of the Medial Meniscus in Anterior Cruciate Ligament-Deficient Knee. Arthroscopy. 2018; 34(5):1582-1589. DOI: 10.1016/j.arthro.2017.12.008. View

Das A, Yadav C, Gamanagatti S, Pandey R, Mittal R . Arthroscopic and 3D CT Scan Evaluation of Femoral Footprint of the Anterior Cruciate Ligament in Chronic ACL Deficient Knees. J Knee Surg. 2018; 32(6):584-588. DOI: 10.1055/s-0038-1660515. View

Wu C, Xie G, Jin W, Ren Z, Xue J, Yang K . [Arthroscopic GraftLink technique reconstruction combined with suture anchor fixation for anterior cruciate ligament and medial collateral ligament injuries]. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2019; 33(6):685-688. PMC: 8355763. DOI: 10.7507/1002-1892.201812062. View

Tachibana Y, Shino K, Mae T, Iuchi R, Take Y, Nakagawa S . Anatomical rectangular tunnels identified with the arthroscopic landmarks result in excellent outcomes in ACL reconstruction with a BTB graft. Knee Surg Sports Traumatol Arthrosc. 2018; 27(8):2680-2690. DOI: 10.1007/s00167-018-5300-0. View

Gao S, Liu N . [Arthroscopic anterior cruciate ligament reconstruction via tibial tunnel made by three-portal technique]. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2019; 33(9):1083-1087. PMC: 8355857. DOI: 10.7507/1002-1892.201905055. View

Zhang L, Jiang B, Sun J, Ma J, Zhang S, Liu X . [A comparative study of arthroscopic anterior cruciate ligament reconstruction via transtibial and transportal techniques]. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2019; 33(9):1077-1082. PMC: 8355841. DOI: 10.7507/1002-1892.201904124. View

Kim J, Kang S, Kim J, Lim C, Wang J . Comparison of Clinical Results, Second-Look Arthroscopic Findings, and MRI Findings Between the Transportal and Outside-In Techniques for Double-Bundle Anatomic Anterior Cruciate Ligament Reconstruction: A Prospective, Randomized Controlled Trial.... Am J Sports Med. 2018; 46(3):544-556. DOI: 10.1177/0363546517744535. View

Chiang E, Chen K, Chih-Chang Lin A, Wang S, Wu H, Ma H . Comparison of Tunnel Enlargement and Clinical Outcome Between Bioabsorbable Interference Screws and Cortical Button-Post Fixation in Arthroscopic Double-Bundle Anterior Cruciate Ligament Reconstruction: A Prospective, Randomized Study With a Minimum.... Arthroscopy. 2019; 35(2):544-551. DOI: 10.1016/j.arthro.2018.08.039. View

10.

Funchal L, Astur D, Ortiz R, Cohen M . The Presence of the Arthroscopic "Floating Meniscus" Sign as an Indicator for Surgical Intervention in Patients With Combined Anterior Cruciate Ligament and Grade II Medial Collateral Ligament Injury. Arthroscopy. 2019; 35(3):930-937. DOI: 10.1016/j.arthro.2018.10.114. View

11.

Chin B, Wee I, Syn N, Krishna L . Arthroscopic Anterior Cruciate Ligament Reconstruction: A Meta-Analysis Comparing Semitendinosus Alone and Semitendinosus with Gracilis Tendon Autografts. J Knee Surg. 2018; 32(8):796-803. DOI: 10.1055/s-0038-1669950. View

12.

Ding Y, Zhang Y, Jia H, Gu D, Chen L . [Mid-term effectiveness of arthroscopic anterior cruciate ligament reconstruction combined with meniscus allograft transplantation]. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2019; 33(9):1071-1076. PMC: 8355850. DOI: 10.7507/1002-1892.201904006. View

13.

Janko M, Verboket R, Plawetzki E, Geiger E, Lustenberger T, Marzi I . [Comparable results after arthroscopic replacement of the anterior cruciate ligament : Clinical and functional results after single bundle and double bundle reconstruction]. Chirurg. 2019; 91(1):67-75. DOI: 10.1007/s00104-019-01050-4. View

14.

Wang W, Fang K, Lin S, Wu G, Chen S . [Early effectiveness of arthroscopic three-point suture technique in treatment of anterior cruciate ligament tibial eminence avulsion fracture]. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2019; 33(7):860-864. PMC: 8337434. DOI: 10.7507/1002-1892.201902007. View

15.

Jonkergouw A, van der List J, DiFelice G . Arthroscopic primary repair of proximal anterior cruciate ligament tears: outcomes of the first 56 consecutive patients and the role of additional internal bracing. Knee Surg Sports Traumatol Arthrosc. 2019; 27(1):21-28. DOI: 10.1007/s00167-018-5338-z. View

16.

Yu H, Deng W, Sang P, Liu Y . [Arthroscopic reconstruction of anterior cruciate ligament with autologous ipsilateral peroneus longus tendon]. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2020; 34(7):843-847. PMC: 8180415. DOI: 10.7507/1002-1892.201911145. View

17.

Park J, Jeong B, Roh Y, Jeong S, Lee H . Evaluation of an arthroscopic stifle lever for stifle joint distraction in toy breed dogs. J Vet Sci. 2018; 19(5):693-698. PMC: 6167345. DOI: 10.4142/jvs.2018.19.5.693. View

18.

Papalia R, Torre G, Papalia G, Campi S, Maffulli N, Denaro V . Arthroscopic primary repair of the anterior cruciate ligament in adults: a systematic review. Br Med Bull. 2019; 131(1):29-42. DOI: 10.1093/bmb/ldz019. View

19.

Janko M, Seufert L, Schramm D, Marzi I, Frank J . [Modified arthroscopic technique to replace the posterior cruciate ligament in multiligament knee injuries : Results compared to open tibial inlay technique]. Unfallchirurg. 2019; 123(8):625-633. DOI: 10.1007/s00113-019-00752-y. View

20.

van der List J, Vermeijden H, Sierevelt I, DiFelice G, van Noort A, Kerkhoffs G . Correction to: Arthroscopic primary repair of proximal anterior cruciate ligament tears seems safe but higher level of evidence is needed: a systematic review and meta-analysis of recent literature. Knee Surg Sports Traumatol Arthrosc. 2019; 28(6):1958-1959. PMC: 7253513. DOI: 10.1007/s00167-019-05757-z. View