Comparing clinical and functional outcomes of anterior cruciate ligament reconstruction using sonoelastography

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dc.contributor.authorErdogan, Eralp
dc.contributor.authorGunes, Zafer
dc.contributor.authorKaya, Ozgur
dc.contributor.authorSahan, Mehmet Hamdi
dc.contributor.authorBurulday, Veysel
dc.contributor.authorVergili, Ozge
dc.contributor.authorSerbest, Sancar
dc.date.accessioned2026-04-04T13:33:00Z
dc.date.available2026-04-04T13:33:00Z
dc.date.issued2025
dc.departmentİnönü Üniversitesi
dc.description.abstractBACKGROUND: Injuries to the anterior cruciate ligament (ACL) are prevalent, particularly following athletic incidents. Most clinicians use MRI for diagnostic purposes and therapy assessment, but it can present challenges in terms of cost and accessibility. While ultrasound guidance (USG) is more readily available, it is inadequate for diagnosing ACL injury in isolation. Therefore, our study aimed to evaluate the effectiveness of sonoelastography, a novel method for assessing tendon injuries, in the context of anterior cruciate ligament (ACL) injuries. METHODS: This study involved a cohort of 45 patients who fulfilled the designated inclusion criteria. We selected the patients from a cohort of 105 individuals who underwent anatomical ACL restoration at the orthopedics and traumatology clinic between 2017 and 2020. The clinical examination results and the stability and quality of the ACL in patients who underwent ACL reconstruction were compared with those from magnetic resonance imaging (MRI) and stress echo laxity (SEL) testing. RESULTS: The study comprised 40 individuals with a mean age of 30.7 +/- 1.4 years. The patients' Lysholm scores exhibited considerable enhancement post-operation, with a mean increase from 2.2 +/- 0.9 pre-operation to 6.1 +/- 1.6 post-operation. The Lachman, anterior drawer, and pivot-shift tests demonstrated improvements relative to the preoperative values. No substantial difference was observed in the single-leg hop test relative to the unaffected side. The SEL findings indicated that 15.6% of the healthy ACL instances were categorized as type 2a, 68.9% as type 2b, and 15.6% as type 3a. In the reconstructed ACL cohort, 17.8% were categorized as type 2a, 62.2% as type 2b, and 20% as type 3a. No substantial statistical difference was detected between the healthy ACL and the reconstructed ACL. No occurrences of type 3b or type 4 were identified in any of the patients. CONCLUSION: We used SEL to find a torn ACL and check its stability and condition after the ligament was reconstructed with a graft. We utilize SEL, or stress sonoelastography, to monitor graft viability and evaluate the progression of ACL injuries. It is also beneficial in evaluating whether the restored ligament possesses a functional structure akin to that of a normal ligament. Moreover, considering its accessibility, cost-effectiveness, replicability, and patient preference, it may provide a more advantageous alternative to MRI.
dc.identifier.doi10.14744/tjtes.2025.73730
dc.identifier.endpage1094
dc.identifier.issn1306-696X
dc.identifier.issn1307-7945
dc.identifier.issue11
dc.identifier.orcid0000-0001-7501-0180
dc.identifier.pmid41392848
dc.identifier.scopus2-s2.0-105022648437
dc.identifier.scopusqualityQ2
dc.identifier.startpage1088
dc.identifier.urihttps://doi.org/10.14744/tjtes.2025.73730
dc.identifier.urihttps://hdl.handle.net/11616/108865
dc.identifier.volume31
dc.identifier.wosWOS:001653317200004
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherTurkish Assoc Trauma Emergency Surgery
dc.relation.ispartofUlusal Travma Ve Acil Cerrahi Dergisi-Turkish Journal of Trauma & Emergency Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_WOS_20250329
dc.subjectACL reconstruction
dc.subjectACL rupture
dc.subjectsonoelastography
dc.subjectultrasound
dc.titleComparing clinical and functional outcomes of anterior cruciate ligament reconstruction using sonoelastography
dc.typeArticle

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