Abstract
Introduction: The success of anterior cruciate ligament (ACL) reconstruction is highly correlated with the autograft diameter from either peroneus longus or hamstring. However, it is difficult to predict the graft diameter for ACL reconstruction preoperatively. Thus, this study is aimed to investigate the potential of using anthropometric measurements to predict autograft diameter. Methods: A cross-sectional study was conducted using a consecutive sampling from January 2016 until December 2021 in Sanglah General Hospital, Denpasar Bali. We recorded patients’ characteristics including gender, age, body weight, height, and Body Mass Index (BMI) preoperatively. We measured peroneus longus and hamstrings grafts diameter intraoperatively and analyzed data using Pearson correlation. Results: Eighty-nine patients met inclusion criteria with 49 patients in receiving peroneus longus autograft and 40 patients receiving hamstring autograft. The peroneus longus group includes 36 males and 13 females while the hamstring group include 19 males and 21 females. Basic demographic characteristics of peroneus longus and hamstring groups, respectively, are as follows: age was 30.53 ± 10.86 and 32.22 ± 15.66 years; body weight 66.14 ± 10.55 and 63.80 ± 7.14 kg; height 167.31 ± 6.37 and 168.33 ± 2.49 (HT) cm; and BMI 23.59 ± 3.28 and 22.51 ± 2.48 kg/m2. Intraoperative peroneus longus and hamstring diameter measurement were 7.56 ± 1.21 and 6.59 ± 0.45, respectively. Pearson correlation showed significant correlation between intraoperative peroneus longus diameter with BMI with p < 0.05. Conclusions: Anthropometric measurement, especially BMI, has potential to be used as a cheap and reliable method to predict ACL autograft preoperatively. Future studies should focus on developing a mathematical formula to predict ACL autograft using anthropometric measurement in clinical settings. Keywords: anterior cruciate ligament, ACL reconstruction, autograft, anthropometric measurement
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