Hamstring graft size and anthropometry in south Indian population

Challa, Supradeeptha; Jonnalagedda, Satyaprasad

doi:10.1016/j.jcot.2013.09.005

Cited by 27 publications

(30 citation statements)

References 25 publications

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“…The ability to predict the length of the hamstring graft preoperatively is of great importance and may help the surgeon in the decision to achieve an acceptable diameter for the autograft in ACL reconstruction. This study demonstrated a positive correlation between the patient height and thigh length with semitendinosus and gracilis graft length; this positive correlation was also reported in previous literatures [14][15][16][17].…”

Section: Discussionsupporting

confidence: 90%

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: Discussionsupporting

confidence: 90%

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 average length of the ST tendon in this study was 29.80 cm and over 67% of our population had a ST tendon whose length was at least 28 cm. When compared to reports from Chinese, Austrian and Indian populations, our sample population had a longer ST tendon (18)(19)(20). Greeks, on the other hand, are reported to have longer tendons than observed in our sample population as summarized in table 3 (9).…”

Section: Discussioncontrasting

confidence: 45%

Semitendinosus Tendon for Solitary Use in Anterior Cruciate Ligament Reconstruction

Bundi¹,

Gikenye²,

Kigera³

2016

Ann Afr Surg.

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Background:The use of a combined graft of both semitendinosus (ST) and gracilis (G) tendons in anterior cruciate ligament (ACL) reconstruction may cause weakness in knee flexion. It has since been proposed that ST be used alone since sparing G leads to near complete preservation of flexion strength. The use of the semitendinosus tendon as a solitary graft for reconstruction of the anterior cruciate ligament requires adequate tendon length (>28 cm) and four strand construct diameter (>8 mm). This study sought to determine the dimensions of the semitendinosus tendon graft among Kenyans. Methods: Forty pairs of ST tendons were harvested from formalin fixed cadavers by use of a tendon stripper. Their lengths were measured after which they were folded into four strand constructs whose diameter was obtained by sizing tunnels. Descriptive statistics and analysis was done using SPSS version 21.0. Results: The average ST tendon length was 29.80 ± 3.59 cm and 67.5% of all tendons had a length ≥ 28.0 cm. The mean four strand construct diameter was 7.89 ± 0.61 mm and 56% of all tendons had a thickness ≥ 8.00 mm. Considering tendon adequacy to be the presence of both sufficient ST tendon length and four strand construct thickness, 51% of all tendons were adequate for solitary use. Conclusion: The use of ST as a solitary graft in ACL reconstruction may be feasible among Kenyans as a good proportion of our sample had adequate dimensions. We suggest that the ST tendon be harvested first during reconstruction as it may be sufficient by itself hence no need to harvest gracilis tendon.

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“…Hamstring tendon length becomes important when (1) triplicated tendon is required in order to increase graft diameter, (2) longer graft length is needed for augmenting fixation by a post, (3) single bundle augmentation is planned using only one of the hamstring tendons, (4) combined reconstructions for multi-ligament injury is to be considered, or (5) double bundle ACL reconstruction is required [22][23][24][25]. Few studies have correlated anthropometric parameters to length of hamstring tendons with ACL graft length of about 8-10 cm (4 cm intra-articular and 2-3 cm on either side in femur and tibia tunnel) being necessary for stable fixation during surgery and good tendon to bone contact for healing [12,13,22,23].…”

Section: Mean Of the Actual And Predicted Graft Diameter (Mm)mentioning

confidence: 99%

“…Few studies have correlated anthropometric parameters to length of hamstring tendons with ACL graft length of about 8-10 cm (4 cm intra-articular and 2-3 cm on either side in femur and tibia tunnel) being necessary for stable fixation during surgery and good tendon to bone contact for healing [12,13,22,23]. To increase diameter of graft triplication of either tendon may be required and length of 24-30 cm of harvested tendons is necessary.…”

Section: Mean Of the Actual And Predicted Graft Diameter (Mm)mentioning

confidence: 99%

“…Moreover, with the graft diameters being measured in value increments of 0.5 mm during sizing, the reliability of these mathematical equations, which are based on continuous numeric data, needs to be questioned. Few studies have looked at the length of hamstring tendon at harvest, but either for triplication of semitendinosus or for double bundle ACL reconstruction [22,23]. We conducted this prospective study to determine the value of these anthropometric measurements in our population to predict the length of harvested tendons and quadrupled hamstring graft diameter.…”

Section: Introductionmentioning

confidence: 99%

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Are pre-operative anthropometric parameters helpful in predicting length and thickness of quadrupled hamstring graft for ACL reconstruction in adults? A prospective study and literature review

Goyal

Matias

Pandey

et al. 2015

International Orthopaedics (SICOT)

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Hamstring graft size and anthropometry in south Indian population

Abstract: a b s t r a c tBackground and Aim: The role of anthropometric measurements in the prediction of

Cited by 27 publications

References 25 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

Semitendinosus Tendon for Solitary Use in Anterior Cruciate Ligament Reconstruction

Are pre-operative anthropometric parameters helpful in predicting length and thickness of quadrupled hamstring graft for ACL reconstruction in adults? A prospective study and literature review

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