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- Talk
- 14/07/2021
- UK
The Injured Anterolateral Ligament has Limited Intrinsic Healing Potential following Isolated ACL Reconstruction
Description
The presentation by Dr. Adnan Saithna focuses on the healing potential of the injured anterolateral ligament (ALL) following isolated anterior cruciate ligament (ACL) reconstruction. He introduces the study aimed at assessing the rates of ALL injury and healing through serial three-dimensional magnetic resonance imaging (MRI), conducted preoperatively and at specific intervals post-surgery (1, 6, 12, and 24 months). Saithna highlights a hypothesis suggesting that injured ALLs possess intrinsic healing capabilities and discusses various patient, injury, and surgical factors influencing healing rates.
The presentation covers a range of classifications for ALL injuries, utilizing a system by Muramatsu, illustrated through MRI images depicting normal, partial tear, and complete tear injuries. It is emphasized that complete tears exhibited no healing, while partial tears had a 37% healing rate by 12 months after the reconstruction. A notable finding is that significant healing occurred between the 6 and 12 month marks, suggesting an extended healing process. The study concludes that although ALL injuries are common in ACL-injured knees, their intrinsic healing potential is limited, with no demographic or surgical factors proving predictive of healing outcomes.