Influence of anthropometric features on graft diameter in ACL reconstruction

Thomas, Shl; Bhattacharya, Rajarshi; Saltikov, JA Bettany; Kramer, Derek

doi:10.1007/s00402-012-1648-7

Cited by 40 publications

(56 citation statements)

References 16 publications

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“…Therefore, the results of the present study cannot be compared to the data by Papastergiou et al [24]. Other authors have confirmed the correlation between height and graft diameter [4, 18, 24, 25, 27, 32, 35, 37, 38]. …”

Section: Discussioncontrasting

confidence: 78%

“…Various authors have analysed the predictability of hamstring tendon dimensions by anthropometric parameters [2, 4, 5, 10, 16, 18, 24–27, 29, 31, 32, 35–38]. Some studies analysed graft diameter [2, 4, 18, 25, 27, 35, 37]. Studies that focused on hamstring tendon length used small study populations or human cadavers [5, 10, 16, 24, 26, 29, 31, 32, 36].…”

Section: Introductionmentioning

confidence: 99%

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Prediction of length and diameter of hamstring tendon autografts for knee ligament surgery in Caucasians

Velden

Besselaar

Reijman

2015

Knee Surg Sports Traumatol Arthrosc

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Purpose Prediction of hamstring tendon autograft size facilitates preoperative planning of knee ligament surgery and may reduce the need for allografts in complex knee reconstructions. The aim of this study was to analyse whether length and diameter of hamstring tendon autografts can be predicted preoperatively with anthropometric parameters and patient characteristics.MethodsIn this observational study, 725 consecutive Caucasian patients scheduled for ACL reconstruction were included. Preoperatively gender, age, height and weight were recorded. After harvest, tendon lengths of both gracilis and semitendinosus tendons were measured. Diameter of the final four-strand hamstring autograft was recorded. Relationship between length and diameter of tendon grafts and different anthropometric parameters were assed by linear and logistic regression analyses.ResultsMean lengths of the semitendinosus and gracilis tendon autografts were 28.9 ± 3.1 and 27.7 ± 3.0 cm, respectively. Length of the gracilis and semitendinosus grafts was independently related to patient height. Female gender was correlated with smaller graft diameter. One in nine female patients had a diameter <8 mm. The ratio in men was 1 in 36.ConclusionHamstring autograft length and size can be predicted in Caucasians. Length of the gracilis and semitendinosus tendons was related to patient height. Smaller graft diameter was related to female gender.Level of evidenceII.

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Section: Discussioncontrasting

confidence: 78%

Section: Introductionmentioning

confidence: 99%

Prediction of length and diameter of hamstring tendon autografts for knee ligament surgery in Caucasians

Velden

Besselaar

Reijman

2015

Knee Surg Sports Traumatol Arthrosc

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“…All 9 anthropometric studies identified were successfully able to obtain significant linear correlations between predicted and intraoperative sizes. 17,18,29,[31][32][33][34][35] Height was the most common predictor of larger grafts. Overall, the quality of the correlations with graft diameter obtained by any parameter in these studies was weaker than that of the correlations obtained by MRI CSA.…”

Section: Discussionmentioning

confidence: 99%

“…These were used to create the average heightto-diameter correlations shown in Table 5. [17][18][19]34,35 …”

Section: Question 2 Part 2: Prediction Based On Anthropometrics and mentioning

confidence: 99%

“…To make analysis possible, we assessed the most commonly reported significant parameter, height, across all studies and found an overall correlation of 0.45 (P < .00001). 17,18,[29][30][31][32][33][34][35] Five of the 9 studies provided linear regression equations correlating height to graft diameter. These were used to create the average heightto-diameter correlations shown in Table 5.…”

Section: Question 2 Part 2: Prediction Based On Anthropometrics and mentioning

confidence: 99%

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Hamstring Autograft Size Can Be Predicted and Is a Potential Risk Factor for Anterior Cruciate Ligament Reconstruction Failure

Conte

Hyatt

Gatt

et al. 2014

Arthroscopy: The Journal of Arthroscopic & Related Surgery

356

314

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Tendon cross‐sectional area on magnetic resonance imaging and anthropometric characteristics can be used to predict insufficient four‐strand hamstring autograft diameter in anterior cruciate ligament reconstruction: A systematic review

Vivekanantha,

Grzela,

Wong

et al. 2024

Knee surg. sports traumatol. arthrosc.

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PurposeTo evaluate the utility of semitendinosus tendon (ST) and gracilis tendon (GT) cross‐sectional area (CSA) on magnetic resonance imaging (MRI) and anthropometric characteristics in preoperative estimation of graft diameter in patients undergoing anterior cruciate ligament reconstruction (ACLR) with four‐strand hamstring autografts.MethodsThree databases were searched on 29 August 2023. The authors adhered to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta‐Analyses) and R‐AMSTAR (Revised Assessment of Multiple Systematic Review) guidelines and the Cochrane Handbook for Systematic Reviews of Interventions. Data on demographics, anthropometric characteristics, imaging techniques, tendon CSA, correlation coefficients, sensitivities, specificities, regression models and cutoffs for predicting intraoperative graft diameters above 8 mm were recorded.ResultsForty‐six studies comprising 4140 patients were included. Twelve of 19 (63.2%) studies reporting on ST + GT CSA found a moderate to very high correlation with intraoperative graft diameter. Five of 10 (50%) and one of seven (14.3%) studies reporting on ST CSA and GT CSA, respectively, found a moderate to high correlation with intraoperative graft diameter. Cutoffs of ST + GT CSA for predicting graft diameters above 8 mm ranged from 15.8 to 31.2 mm2. Nine of 35 (25.7%) studies that reported on height found a moderate to very high correlation with graft diameter. Seven of 33 (21.2%) studies reporting on weight found a moderate correlation with graft diameter.ConclusionOf the MRI parameters assessed, ST + GT CSA was the most reliable predictor of graft diameter. However, cutoffs, sensitivities, and specificities for predicting diameters above 8 mm were highly variable. Anthropometric characteristics in general were less predictive of graft diameter than MRI parameters. This information can be used by clinicians to predict patients at risk for ACLR failure due to insufficient graft size.Level of EvidenceLevel IV.

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Influence of anthropometric features on graft diameter in ACL reconstruction

Abstract: Although body mass index did not significantly correlate, body height may be a predictive variable in predicting the graft diameter in ACL reconstruction and provide useful pre operative information.

Cited by 40 publications

References 16 publications

Prediction of length and diameter of hamstring tendon autografts for knee ligament surgery in Caucasians

Prediction of length and diameter of hamstring tendon autografts for knee ligament surgery in Caucasians

Hamstring Autograft Size Can Be Predicted and Is a Potential Risk Factor for Anterior Cruciate Ligament Reconstruction Failure

Tendon cross‐sectional area on magnetic resonance imaging and anthropometric characteristics can be used to predict insufficient four‐strand hamstring autograft diameter in anterior cruciate ligament reconstruction: A systematic review

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