Author/Authors :
MArques de AlMeidA, AdriAno University of São Paulo - Department of Orthopedics and Traumatology - FIFA Medical Center of Excellence, São Paulo, SP, Brazil , BordAlo rodrigues, MArcelo University of São Paulo - Department of Orthopedics and Traumatology - FIFA Medical Center of Excellence, São Paulo, SP, Brazil , uchôA de rezende, MArciA University of São Paulo - Department of Orthopedics and Traumatology - FIFA Medical Center of Excellence, São Paulo, SP, Brazil , Pedrinelli, André University of São Paulo - Department of Orthopedics and Traumatology - FIFA Medical Center of Excellence, São Paulo, SP, Brazil , José hernAndez, ArnAldo University of São Paulo - Department of Orthopedics and Traumatology - FIFA Medical Center of Excellence, São Paulo, SP, Brazil
Abstract :
Objective: To clinically and radiologically evaluate patients who
received meniscal suture using the outside-in technique, comparing
magnetic resonance imaging (MRI), arthro-magnetic resonance
imaging (arthro-MRI), and arthro-computed tomography (arthro-CT)
to evaluate the healing of meniscal sutures. Methods: We evaluated
eight patients with an average follow-up of 15 months. The evaluation
analyzed clinical parameters using the Lysholm and IKDC scores as
well as MRI, arthro-MRI, and arthro-CT imaging. Results: At the end
of the follow-up period, mean Lysholm score was 89.5 and mean
IKDC score was 78.6. In the MRI, signs of meniscal healing were
observed in 50% of the cases. The arthro-MRI and arthro-CT showed
signs of healing in 75% of cases. There was a positive correlation
between arthro-MRI and arthro-CT results in all the cases studied
(kappa correlation index=1). Conclusion: Meniscal suture using the
outside-in technique presented good or excellent results in 87.5%
of our patients. The arthro-CT and arthro-MRI showed the same
level of accuracy in detecting healing of the sutured region of the
meniscus. Level of Evidence IV; Case series.
Keywords :
Meniscus , Knee , Magnetic resonance imaging , Tomography
