Correlation between anthropometric data and length and thickness of the tendons of the semitendinosus and gracilis muscles used for grafts in reconstruction of the anterior cruciate ligament

Pereira, Rafael Nicolay; Karam, Francisco Consoli; Schwanke, Roberto Luís; Millman, Rubens; Foletto, Zilmar Minetto; Schwanke, Carla Helena Augustin

doi:10.1016/j.rboe.2016.01.011

Cited by 15 publications

(20 citation statements)

References 17 publications

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“…Furthermore, we found no correlation between BMI and the final graft diameter in males as the females were excluded in our study. In previous studies, one author reported that BMI was correlated to the graft diameter in females but not in male [21], another author showed no correlation with BMI in both genders [11], and few authors had shown only a weak positive correlation between BMI and the quadrupled hamstring graft diameter [21,22]. It is interesting to note that, in our study, the patient age was the only independent variable that had a positive correlation with the final graft diameter.…”

Section: Discussionmentioning

confidence: 99%

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Anthropometric correlation with hamstring graft size in anterior cruciate ligament reconstruction among males

Moghamis

Abuodeh

Darwiche

et al. 2019

International Orthopaedics (SICOT)

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Purpose Pre-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. Methods The 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. Results Patient'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. Conclusion This 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.

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Section: Discussionmentioning

confidence: 99%

“…Various studies exist in the literature regarding prediction of graft size. However, no consensus has been reached due to differences in results between the studies [11][12][13].…”

Section: Introductionmentioning

confidence: 99%

Anthropometric correlation with hamstring graft size in anterior cruciate ligament reconstruction among males

Moghamis

Abuodeh

Darwiche

et al. 2019

International Orthopaedics (SICOT)

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“…The tendon of ST muscle has its clinical application as the autograft in various surgeries. The ST muscle tendon autograft has been used for the anterior cruciate ligament reconstruction [ 3 4 ]. The ST muscle tendon graft is also used to reconstruct the tears of tendo-calcaneus [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

“…The ST muscle allografts have given the good results in the reconstruction of lateral ligaments of ankle joint as well [ 6 ]. It was described that the preoperative knowledge of ST muscle tendon length will help the operating surgeon in choosing the alternative grafts [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

“…The challenges in this procedure are variability in the length and thickness of the ST muscle tendon graft and the graft harvesting [ 7 8 ]. The ST muscle graft can be harvested as double, triple or quadruple forms or in association with the gracilis tendon and other combinations [ 3 ]. The topography of the entrance of neurovascular pedicles into the muscle is important to the operating plastic surgeons, while choosing the flaps [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

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Morphometric study of the semitendinosus muscle and its neurovascular pedicles in South Indian cadavers

et al. 2018

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The purpose of this study was to determine the length of the semitendinosus muscle belly and its tendon in South Indian population and to study the topography and diameter of its neurovascular pedicles. The study included 46 formalin fixed human cadaveric lower limbs. The length of the semitendinosus muscle belly and its tendon were measured. The neurovascular pedicles of the semitendinosus muscle were identified and counted. The diameter of the neurovascular pedicle was measured just before its entrance into the semitendinosus muscle. The topographical distance of the neurovascular pedicles from the origin of the semitendinosus muscle were determined. The mean length of the semitendinosus muscle belly was 332.3±36.1 mm and its tendon measured 154.8±31.9 mm. The mean diameter of the vascular pedicle was measuring 11.4±9.1 mm, just before its entrance into the semitendinosus muscle. The neurovascular pedicles, of the semitendinosus muscle were ranging between 1 and 7. The distance of the entrance of neurovascular pedicle to the semitendinosus muscle from its origin was ranging between 46 and 272 mm. It was observed that the neurovascular pedicles were highest (31%) at the range of 151–200 mm away from the ischial tuberosity. The morphometric data obtained in the present study is enlightening to the orthopedic and plastic surgeons. The topographical knowledge of the neurovascular pedicles has its implications during the harvesting of the grafts and pedicle flaps. The diameter of vessels in the pedicles is enlightening because of new method of anterior cruciate ligament reconstruction.

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Prediction of individual graft for anterior cruciate ligament reconstruction using anthropometric data

Röggla

Beiglböck

Schett

et al. 2022

Arch Orthop Trauma Surg

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Introduction Multiple options for individual anterior cruciate ligament (ACL) reconstruction exist; still, there are no guidelines for the preoperative preparation. The aim of this study was to assess the correlation between patients’ anthropometric data (height, weight, and age) and measurements of potential tendons (quadriceps-, patella, hamstrings tendon) for an anterior cruciate ligament reconstruction. Material and methods MR images of 102 patients have been analyzed. Measurements of the ACL were performed with respect to its length and angle. The diameter and length as well as width of the quadriceps and patella tendon, the cross-sectional area (CSA) and diameter of the hamstring tendons have been assessed. Patients’ height, weight, BMI, sex and age have been recorded. The correlations of these measurements with the patients’ anthropometric data have been calculated. Inter-rater and intra-rater reliability based on intra-class correlation (ICC) was evaluated. Results The mean lengths of the ACL were 29.8 ± 3.5 mm, tibial insertion sites 15.8 ± 2.5 mm and femoral insertion sites 15.2 ± 3.0 mm. Thickness of the quadriceps tendons was 4.7 ± 1.1 mm and patella tendon 3.2 ± 0.7 mm. The patients’ height showed significant positive correlations with the CSA of the hamstring tendon measurements, the length of the ACL, and the insertion sites of the ACL. Patients’ weight showed significant positive correlations with patella tendon thickness, the CSA of the hamstring tendons, the length of the ACL, and the tibial and femoral insertion sites. Patients’ age showed a significant positive correlation with patella tendon thickness. The ICCs for intra- and inter-rater reliability were 0.98 (95% CI 0.95–0.99, p < 0.001) and 0.94 (95% CI 0.88–0.99, p < 0.001). Conclusion Anthropometric data with respect to height, weight, and sex can help to predict the dimension of tendons for ACL reconstruction and do correlate with ACL tendon. Patients at risk for small graft dimensions and failure are younger than 20 years and physically active. MRIs of patients at risk for small graft dimensions should be analyzed on tendon length and cross section areas preoperatively to determine the appropriate tendon harvest and fixation technique.

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Correlation between anthropometric data and length and thickness of the tendons of the semitendinosus and gracilis muscles used for grafts in reconstruction of the anterior cruciate ligament

Cited by 15 publications

References 17 publications

Anthropometric correlation with hamstring graft size in anterior cruciate ligament reconstruction among males

Anthropometric correlation with hamstring graft size in anterior cruciate ligament reconstruction among males

Morphometric study of the semitendinosus muscle and its neurovascular pedicles in South Indian cadavers

Prediction of individual graft for anterior cruciate ligament reconstruction using anthropometric data

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