A simple magnetic resonance scoring system for predicting suitability for primary anterior cruciate ligament repair

No Thumbnail Available
Date
2024-08
Authors
Kılızay, Yusuf Onur
Erdoğmuş Gülcan, Server
Yılmaz, Hazal Berfin
Yalçın, Gülay
Journal Title
Journal ISSN
Volume Title
Publisher
Erzincan Binali Yıldırım Üniversitesi
Abstract
Objective: This study developed a simple magnetic resonance imaging (MRI) scoring method to assess the suitability of the anterior cruciate ligament (ACL) remnant for primary repair and aimed to test the success of this scoring method on operative images of patients undergoing early ACL surgery. Methods: The video-recorded operative images of patients who underwent ACL reconstruction and the MRI images of the same patients taken in our hospital were retrieved from the hospital archive. Two surgeons evaluated whether the ACL could be primarily repaired on the video images recorded during the operation. Magnetic resonance primary repairability (MPR) scores and repairability status on video images were compared. Results: The mean age of the patients was 30.4 ± 8.6 years. The evaluation of remnant size on MRI showed moderate agreement between observers (P < .001, Cohen’s kappa = 0.605). The assessment of the repairability score based on MRI and video observation demonstrated substantial agreement between observers (P < .001, Cohen’s kappa = 0.743 and P < .001, Cohen’s kappa = 0.762, respectively). Conclusion: The MR primary repairability score (MPR score) is suitable for use in the decision-making process for the primary repair of the ACL.
Description
Keywords
ACL , MRI , Primary , Reconstruction , Repair
Citation
Kızılay, Y.O., Erdoğmuş Gülcan, S., Yılmaz H.B., Yalçın, G. (2024). A simple magnetic resonance scoring system for predicting suitability for primary anterior cruciate ligament repair. Archives of Basic and Clinical Research. 6(3), 159-164. https://doi.org/10.5152/ABCR.2024.24288