MRI-associated classification to evaluate the outcome after autologous reconstruction of the medial patellofemoral ligament: a preliminary study.

Abstract:

PURPOSE:Purpose of this study was to establish and validate an MRI-associated classification to graduate postoperative results of MPFL reconstructions. METHODS:30 autologous MPFL reconstructions of 28 patients were evaluated by two independent raters using MRI. All grafts were assigned to a novel graduation system respecting the graft's anchoring insertions, its MRI signal appearance, continuity and tension and the differentiation relating to the surrounding soft tissue. RESULTS:All grafts could reliably be assigned to one of the subgroups by both raters. 86.6 % of the grafts could be classified A1 or B1, reflecting a correct positioning and a low to intermediate signal intensity. Only one graft had to be classified C3 (malpositioned, elongated). CONCLUSION:We were able to establish and validate an MRI-associated classification to graduate the postoperative outcome after MPFL reconstructions. Foresighted, the presented classification might support further decision making in case of unsatisfying postoperative results.

authors

Best R,Hingelbaum S,Huth J,Mauch F

doi

10.1007/s00402-015-2349-9

subject

Has Abstract

pub_date

2016-02-01 00:00:00

pages

249-55

issue

2

eissn

0936-8051

issn

1434-3916

pii

10.1007/s00402-015-2349-9

journal_volume

136

pub_type

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