Correlation between body mass index and quadrupled hamstring tendon autograft size in ACL reconstruction

Atbasi, Zafer; Erçin, Ersin; Erdem, Yusuf; Emre, Tuluhan Yunus; Atilla, Halis Atıl; Parlak, Adem

doi:10.11138/jts/2016.4.4.198

Cited by 9 publications

(6 citation statements)

References 17 publications

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“…Unlike autografts from patellar or quadriceps tendons, which can reliably be harvested to a predetermined graft diameter, hamstrings autografts show a considerable variability in their length and diameter between patients [8][9][10]. These differences can, to a certain degree, be predicted based on anthropometric measures [8,11], but often the graft size is first given after harvesting has been performed. Therefore, the effect on outcomes due to differences in graft diameter is important knowledge supporting intra-operative decision making.…”

Section: Introductionmentioning

confidence: 99%

No effect of graft size or body mass index on risk of revision after ACL reconstruction using hamstrings autograft

Inderhaug

Drogset

Lygre³

et al. 2019

Knee Surg Sports Traumatol Arthrosc

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Purpose The current study investigated the distribution of hamstrings graft size and body mass index and any potential effect on the risk of revision surgery in a large prospective cohort of patients undergoing ACL reconstruction. More specifically, the aim of the study was to investigate whether larger graft size or smaller BMI would decrease the risk of revision after ACL reconstruction. Methods A total of 4029 patients, prospectively registered in the Norwegian Knee Ligament Registry, were included in the study. Univariate Kaplan–Meier survival analyses (with log‐rank tests) and the Cox proportional hazard (PH) regression model were applied to compare risk of revision between groups of patients. Mutual adjustment for gender, age, activity at the time of injury and fixation method of the graft was performed. Results Graft sizes spanned from 5.5 to 11.0 mm and the median of 8.0 mm was reported in 42% of patients in the cohort. BMI was reported from 15 to 57 with a median of 25. 46% of patients were classified as overweight (WHO standards), while 23% of patients were obese. At a median of 2.5 years after surgery, 150 patients had undergone revision surgery. Although certain effects were seen in the unadjusted analyses, neither graft size (diameter) nor patient BMI did affect the risk of undergoing revision surgery in the adjusted analyses. Conclusions Graft size and BMI was not found to be independent risk factors for undergoing ACL revision surgery. In contrast to other studies, graft size of 8 mm or larger did not have a better outcome than smaller graft sizes. A relatively large group of overweight patients undergoing ACL surgery reflects the general increase in weight seen in Western societies. Although the current study differs from previous findings, it might indicate that graft diameter is less important than previously stated. Level of evidence Cohort study, II.

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Section: Introductionmentioning

confidence: 99%

No effect of graft size or body mass index on risk of revision after ACL reconstruction using hamstrings autograft

Inderhaug

Drogset

Lygre³

et al. 2019

Knee Surg Sports Traumatol Arthrosc

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“…[ 8 – 10 ] The pes anserinus is an excellent graft choice and has become more popular for their robust strength, simple and convenient surgery procedure as well as a rather low morbidity of postoperative complications. [ 11 , 12 ] Some studies evaluating treatment effects show that the quadruple-strand pes anserinus or patellar ligament grafts are even more potent to avoid failure with multiple fixation configurations when compared with native anterior cruciate ligaments biomechanically. It demonstrates a milestone triumph in grafts implanting surgery.…”

Section: Introductionmentioning

confidence: 99%

The anatomical and imaging study of pes anserinus and its clinical application

Zhong

Wang

et al. 2018

Medicine

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“…There has been some evidence supporting the association (21,22) . Conversely, there are also evidence showing there are no association between anthropometric measurement and hamstring tendon diameter (23,24) . This result further establishes the potential of peroneus longus in ACL reconstruction procedure.…”

Section: Discussionmentioning

confidence: 99%

Anthropometrics Correlation of Peroneus Longus and Hamstring Autograft for Anterior Cruciate Ligament: A Cross-sectional Study

Krishna Caitanya,

Hamzah,

Nanda Ustriyana

2023

Int J Res Rev

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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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Correlation between body mass index and quadrupled hamstring tendon autograft size in ACL reconstruction

Abstract: Level IV, retrospective case series.

Cited by 9 publications

References 17 publications

No effect of graft size or body mass index on risk of revision after ACL reconstruction using hamstrings autograft

No effect of graft size or body mass index on risk of revision after ACL reconstruction using hamstrings autograft

The anatomical and imaging study of pes anserinus and its clinical application

Anthropometrics Correlation of Peroneus Longus and Hamstring Autograft for Anterior Cruciate Ligament: A Cross-sectional Study

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