Correlation between height and semitendinosus tendon length, prediction of minimum semitendinosus tendon length based on height-an easy and accurate method

Mishra, Pallav; Goyal, Ankit; Gupta, Himanshu; Bhavani, Prashant; Lal, Hitesh; Kumar, Sanjay

doi:10.1016/j.jcot.2022.101918

Cited by 3 publications

(5 citation statements)

References 18 publications

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“…Although these results do not align with previous registry‐based studies evaluating the association between hamstring autograft diameter and ACL graft failure rates [6, 8, 12–14, 18, 20, 22, 23, 25, 26], they do support the proposal of Wang et al who state that hamstring autograft diameter should be selected according to the dimensions of the native ACL [27]. This is because athletes in the ≤ 8 mm group were smaller, lighter, and more often female, without having an increased risk for ACL graft failure.…”

Section: Discussioncontrasting

confidence: 90%

“…The size of the anterior cruciate ligament often varies between individuals, but such variation is typically not considered during ACL reconstruction when determining hamstring autograft diameter. Nowadays many orthopedic surgeons stick to the 8 mm cut‐off value, whereas day‐to‐day practice reveals more factors are contributing to the optimal hamstring autograft diameter choice [18, 21]. There is, for instance, a significant correlation between femoral notch volume and ACL volume.…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…According to most of the large ACL registry‐based cohort studies, hamstring autograft diameter is associated with the risk of ACL graft failure [6, 8, 11–14, 17, 18, 20, 22, 23, 25, 26, 29]. A hamstring graft diameter equal to or smaller than 8 mm is believed to increase ACL graft failure rates compared to grafts larger than 8 mm [6, 8, 13, 14, 18, 26]. Mariscalco et al reported that ACL revision surgery was required in 0 of 64 (0%) patients with a hamstring autograft diameter greater than 8 mm and in 14 of 199 (7%) patients with a hamstring autograft diameter equal to or smaller than 8 mm [14].…”

Section: Introductionmentioning

confidence: 99%

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A hamstring autograft diameter ≤ 8 mm is a safe option for smaller, lighter and female athletes who want to return to pivoting sports after ACL reconstruction

Boots,

van Melick,

Bogie

2023

Knee surg. sports traumatol. arthrosc.

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Purpose To investigate the association between hamstring autograft diameter and ACL graft failure rate in athletes who successfully returned to pivoting sports after ACL reconstruction. Methods Retrospective evaluation of ACL graft failure rates in athletes who underwent ACL reconstruction with all-inside hamstring autograft and successfully returned to pivoting sports following postoperative rehabilitation. Athletes were divided into a ≤ 8 mm group and a > 8 mm group. Data about return to pivoting sports and ACL graft failures after ACL reconstruction were collected via a digital questionnaire. ACL graft failures were in all cases confirmed by an orthopaedic surgeon and/ or MRI. The association between hamstring autograft diameter and ACL graft failure rate was investigated using a Fisher's exact test in the subgroup of athletes who completed the digital questionnaire and returned to pivoting sports. Results Two-hundred and twenty-nine of the 422 athletes who completed the digital questionnaire (54.2%) returned to a pivoting sport and were included for final analyses. Ninety-seven (42.4%) of the athletes who returned to sport were in the ≤ 8 mm group (8 graft failures) and 132 (57.6%) in the > 8 mm group (10 graft failures). There were significantly more women (49.5 and 13.6% respectively; p < 0.001) and significantly smaller (1.75 and 1.81 m respectively; p < 0.001), lighter (72.2 and 79.6 kg respectively; p < 0.001) and younger (23.6 and 26.1 years old respectively; p = 0.015) athletes in the ≤ 8 mm group compared to the > 8 mm group. There was no significant association between hamstring autograft diameter and ACL graft failure rate. Conclusion A hamstring autograft diameter of ≤ 8 mm is a legitimate option for smaller, lighter and female athletes without increasing the risk for ACL graft failure. Level of evidence III.

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Section: Discussioncontrasting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A hamstring autograft diameter ≤ 8 mm is a safe option for smaller, lighter and female athletes who want to return to pivoting sports after ACL reconstruction

Boots,

van Melick,

Bogie

2023

Knee surg. sports traumatol. arthrosc.

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“…Prior efforts to predict the diameter of the PLT [10, 24] and hamstring tendon [17, 19, 23] using anthropometric data and bone parameters found only a moderate correlation. Therefore, using ultrasound (US) [4, 14, 18, 27–29] and magnetic resonance imaging (MRI) [4, 11, 29] measurements to predict autograft diameter has attracted attention and been more recently explored.…”

Section: Introductionmentioning

confidence: 99%

Preoperative ultrasound can accurately predict the diameter of double-stranded peroneus longus tendon autografts

Luo

Rothrauff

et al. 2023

Knee Surg Sports Traumatol Arthrosc

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PurposeThis study aimed to determine the correlation between the intraoperative diameter of double‐stranded peroneus longus tendon (2PLT) and length of the PLT autograft and preoperative ultrasound (US) measurements, as well as radiographic and anthropometric measurements. The hypothesis was that US can accurately predict the diameter of 2PLT autografts during operation. MethodsTwenty‐six patients underwent ligament reconstruction with 2PLT autografts were included. Preoperative US was used to calculate the in situ PLT cross‐sectional area (CSA) at seven levels (0, 1, 2, 3, 4, 5, 10 cm proximal to the harvest start point). Femoral width, notch width, notch height, maximum patellar length, and patellar tendon length were determined on preoperative radiographs. Intraoperative measurements of PLT were made, including all fiber lengths of PLT and diameters of 2PLT using sizing tubes calibrated to 0.5 mm. ResultsCSA at 1 cm proximal to the harvest site had the highest correlation with the diameter of 2PLT (r = 0.84, P < 0.001). Calf length had the highest correlation with PLT length (r = 0.65, P < 0.001). The diameter of the 2PLT autografts could be predicted by the following formula: 4.6 + 0.2 × [sonographic CSA of PLT at 1 cm level]; the length of PLT could be predicted by the following formula: 5.6 + 0.5 × Calf length. ConclusionThe diameter of 2PLT and length of PLT autografts can be accurately predicted by preoperative US and calf length measurements, respectively. Accurate preoperative prediction of the diameter and length of autologous grafts can provide the most suitable and individualized graft for patients. Level of evidenceIV.

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Correlation between anthropometric measurements and graft size in anterior cruciate ligament reconstruction: a systematic review and meta-analysis

Salman,

Moghamis,

Hatnouly

et al. 2023

Eur J Orthop Surg Traumatol

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Purpose This systematic review and meta-analysis aimed to investigate the correlation between anthropometric measurements and graft size in anterior cruciate ligament (ACL) reconstruction. Methods A systematic search of Ovid MEDLINE, Embase, and Cochrane Library databases was conducted for observational studies published until March 2023 that reported the relationship between anthropometric data [height, weight, body mass index (BMI), age, gender, thigh length, and circumference] and ACL graft size. Correlation coefficients (COR) and their associated 95% confidence intervals were used as the primary effect size. This review was conducted in line with PRISMA guidelines. Results A total of 42 observational studies involving 7110 patients were included, with a mean age of 29.8 years. Statistically significant, moderately positive correlations were found between graft size and height (COR: 0.49; 95% CI: 0.41–0.57; p-value: < 0.001), weight (COR: 0.38; 95% CI: 0.31–0.44; p-value: < 0.001), thigh circumference (COR: 0.40; 95% CI: 0.19–0.58; p-value: < 0.001), and thigh length (COR: 0.35; 95% CI: 0.18–0.50; p-value: < 0.001). However, age and gender were insignificantly correlated with graft size (p-value: NS). A subanalysis based on graft type showed a significant positive correlation between height and graft diameter, which was more significant in the peroneus tendon than in hamstring grafts (COR: 0.76 vs. 0.45; p-value: 0.020). Conclusion This study demonstrated a moderate positive correlation between anthropometric measurements (height, weight, thigh circumference, and length) and ACL graft size, along with a weak positive correlation with BMI. Age and gender showed no significant correlation. These findings support the predictability and selection of ACL graft size based on pre-operative patient anthropometric data. Level of evidence Level of Evidence: IV. PROSPERO registration number: CRD42023416044.

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Correlation between height and semitendinosus tendon length, prediction of minimum semitendinosus tendon length based on height-an easy and accurate method

Cited by 3 publications

References 18 publications

A hamstring autograft diameter ≤ 8 mm is a safe option for smaller, lighter and female athletes who want to return to pivoting sports after ACL reconstruction

A hamstring autograft diameter ≤ 8 mm is a safe option for smaller, lighter and female athletes who want to return to pivoting sports after ACL reconstruction

Preoperative ultrasound can accurately predict the diameter of double-stranded peroneus longus tendon autografts

Correlation between anthropometric measurements and graft size in anterior cruciate ligament reconstruction: a systematic review and meta-analysis

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