Evaluation of Meniscal Tissue after Meniscal Repair Using Ultrahigh Field MRI

Beate Stelzeneder; Bernhard Michael Trabauer; Silke Aldrian; David Stelzeneder; Vladimir Juras; Christian Albrecht; Stefan Hajdu; Patrick Platzer; Siegfried Trattnig

doi:10.1055/s-0040-1709135

The Journal of Knee Surgery, Inhaltsverzeichnis

J Knee Surg 2021; 34(12): 1337-1348
DOI: 10.1055/s-0040-1709135

Original Article

Evaluation of Meniscal Tissue after Meniscal Repair Using Ultrahigh Field MRI

Beate Stelzeneder

¹Division of Trauma Surgery, Department of Orthopedics and Trauma Surgery, Medical University of Vienna, Vienna, Austria

,

Bernhard Michael Trabauer

¹Division of Trauma Surgery, Department of Orthopedics and Trauma Surgery, Medical University of Vienna, Vienna, Austria

²Landeskliniken Holding Korneuburg-Stockerau, Stockerau, Austria

,

Silke Aldrian

¹Division of Trauma Surgery, Department of Orthopedics and Trauma Surgery, Medical University of Vienna, Vienna, Austria

,

David Stelzeneder

³Department of Orthopaedics and Trauma Surgery, Hanusch-Krankenhaus, Vienna, Austria

⁴Division of Orthopedics, Department of Orthopedics and Trauma Surgery, Medical University of Vienna, Vienna, Austria

,

Vladimir Juras

⁵High Field MR Center, Department of Biomedical Imaging and Image-guided Therapy, Medical University of Vienna, Vienna, Austria

⁶Department of Imaging Methods, Institute of Measurement Science, Bratislava, Slovakia

,

Christian Albrecht

¹Division of Trauma Surgery, Department of Orthopedics and Trauma Surgery, Medical University of Vienna, Vienna, Austria

⁷I. Orthopaedic Department, Orthopaedic Hospital Speising GmbH, Vienna, Austria

,

Stefan Hajdu

¹Division of Trauma Surgery, Department of Orthopedics and Trauma Surgery, Medical University of Vienna, Vienna, Austria

,

Patrick Platzer

⁸Department of Trauma Surgery and Sports Traumatology, University Hospital St. Poelten, St. Poelten, Austria

,

Siegfried Trattnig

⁵High Field MR Center, Department of Biomedical Imaging and Image-guided Therapy, Medical University of Vienna, Vienna, Austria

⁹Christian Doppler Laboratory for Clinical Molecular MR Imaging, Vienna, Austria

¹⁰Austrian Cluster for Tissue Regeneration, Ludwig Boltzmann Institute for Experimental and Clinical Traumatology, Vienna, Austria

› Institutsangaben

Abstract

The study evaluates the meniscal tissue after primary meniscal suturing using 7-Tesla (T) magnetic resonance imaging with T₂* mapping at 6 and 12 months after surgery to investigate the differences between repaired meniscal tissue and healthy meniscal tissue in the medial and lateral compartment. This prospective study included 11 patients (9m/2f) with a mean age of 30.6 years (standard deviation 9.0). Patients with a meniscal tear that was treated arthroscopically with meniscus suturing, using an all-inside technique, were included. All patients and seven healthy volunteers were imaged on a 7-T whole-body system. T2* mapping of the meniscus was applied on sagittal slices. Regions-of-interest were defined manually in the red and white zone of each medial and lateral meniscus to measure T2*-values. In the medial posterior and medial anterior horn similar T₂*-values were measured in the red and white zone at 6- and 12-month follow-up. Compared with the control group higher T₂*-values were found in the repaired medial meniscus. After 12-months T₂*-values decreased to normal values in the anterior horn and remained elevated in the posterior horn. In the red zone of the lateral posterior horn a significant decrease in the T₂*-values (from 8.2 milliseconds to 5.9 milliseconds) (p = 0.04), indicates successful repair; a tendency toward a decrease in the white zone between the 6 and 12 months follow-up was observed. In the red zone of the lateral anterior horn the T₂*-values decreased significantly during follow-up and in the white zone of the lateral anterior horn T₂*-values were comparable. In comparison to the control group higher T₂*-values were measured at 6-months; however, the T₂*-values showed comparable values in the repaired lateral meniscus after 12 months. The T2* mapping results of the current study indicated a better healing response of the red zone of the lateral posterior horn compared with the medial posterior horn.

Keywords

magnetic resonance imaging - meniscus - meniscal repair - T2* mapping

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Referenzen

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