RESUMO
Anterior cruciate ligament (ACL) injuries are especially common in the younger athletic population. In 1998, more than 100,000 ACL reconstructions were performed. MR imaging examination has proved to be valuable in imaging and evaluating ACL reconstructions. This article reviews different surgical reconstruction procedures, indications for postoperative MR imaging, and the MR imaging appearance seen in routine ACL reconstructions and in complications associated with ACL reconstructions.
Assuntos
Ligamento Cruzado Anterior/patologia , Ligamento Cruzado Anterior/cirurgia , Imageamento por Ressonância Magnética , Cuidados Pós-Operatórios , Ligamento Cruzado Anterior/transplante , Humanos , Imageamento por Ressonância Magnética/métodos , Complicações Pós-Operatórias/patologia , Próteses e ImplantesRESUMO
Critical pathways are being implemented in health care facilities across the nation as a cost-containment tool. When developed using best practice based on a literature review and the collaboration of a multidisciplinary team, critical pathways can be very successful in maintaining or increasing the quality of care while controlling the cost of the care provided. The Department of Defense Utilization Management Plan strongly encourages the use of pathways. Here we discuss the development and implementation of a critical pathway for laparoscopic cholecystectomy patients, with the goal being to transfer the medical care from the inpatient setting to the ambulatory surgery arena. The use of this pathway resulted in almost a 50% increase in patients treated in the ambulatory surgery arena.
Assuntos
Procedimentos Cirúrgicos Ambulatórios , Colecistectomia Laparoscópica , Procedimentos Clínicos/organização & administração , Medicina Militar/organização & administração , Procedimentos Cirúrgicos Ambulatórios/economia , Procedimentos Cirúrgicos Ambulatórios/estatística & dados numéricos , Colecistectomia Laparoscópica/economia , Colecistectomia Laparoscópica/estatística & dados numéricos , Controle de Custos , Havaí , Humanos , Avaliação de Programas e Projetos de Saúde , Garantia da Qualidade dos Cuidados de SaúdeRESUMO
MR imaging is an accurate, noninvasive, and cost-effective method for the evaluation of acute knee ligament injuries and in the examination of the postoperative knee. Understanding the normal anatomy and the pertinent clinical aspects of knee injuries is a prerequisite for accurate interpretation of MR imaging studies. The increasing popularity of ACL reconstruction following disruption of this ligament requires knowledge of the various surgical techniques and their MR imaging appearance as well as the appearance of possible complications.