Abstract
PurposePre-operative knowledge of hamstring graft size for anterior cruciate ligament reconstruction (ACL) is of clinical importance and useful in making appropriate decisions about graft choice. This study investigated if there is any correlation between anthropometric measurements such as height, weight, body mass index, thigh length, and circumference with the size of hamstring tendon graft in anterior cruciate ligament reconstruction.MethodsThe anthropometric data of 50 consecutive adult males, who underwent primary ACL reconstruction using quadruple hamstring autograft, were collected prospectively. Data analysis using Pearson’s correlation test was performed and multiple logistic regression analysis was used to investigate any correlation not detected by Pearson’s test and to eliminate confounders.ResultsPatient’s height and thigh length demonstrated a positive correlation with gracilis graft length (r = .464, P = .001, r = .456, P = .001, respectively) and semitendinosus graft length (r = .541, P = 000, r = .578, P = .000, respectively). While the patient’s age was the only independent factor which had a positive correlation with the quadrupled hamstring graft diameter (r = .412, P = .004), multiple regression analysis showed abdominal girth had a significant negative correlation with gracilis (P = .04) and semitendinosus (P = .006) graft thickness.ConclusionThis study demonstrated that some anthropometric measurements had a positive correlation with the hamstring graft length and diameter in male patients. Hence, these results provide preliminary support for the use of some anthropometric measurements in the preoperative planning and prediction of the hamstring graft length and diameter in anterior cruciate ligament reconstruction.
Highlights
Rupture of the anterior cruciate ligament (ACL) is one of the most common encountered knee injuries [1]
This study investigated if there is any correlation between anthropometric measurements such as height, weight, body mass index, thigh length, and thigh circumference with the International Orthopaedics (SICOT) (2020) 44:577–584 size of hamstring tendon graft in anterior cruciate ligament (ACL) reconstruction
All adult male patients with isolated ACL deficiency undergoing primary arthroscopic ACL reconstruction using a hamstring tendon autograft were included in this study
Summary
Rupture of the anterior cruciate ligament (ACL) is one of the most common encountered knee injuries [1]. Deficiency of this ligament can be severely detrimental to high-level athletes or individuals participating in sports [2]. The aim of an ACL reconstruction is to restore the function and biomechanics of the native ligament. Various grafts available for use in the reconstruction of the ACL and the. Various studies exist in the literature regarding prediction of graft size. No consensus has been reached due to differences in results between the studies [11,12,13]
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