Using Magnetic Resonance Imaging to Predict Adequate Graft Diameters for Autologous Hamstring Double-Bundle Anterior Cruciate Ligament Reconstruction

Wernecke, Gregory C.; Harris, Ian A.; Houang, Michael; Seeto, Bradley G.; Chen, Darren B.; MacDessi, Samuel J.

doi:10.1016/j.arthro.2011.02.035

Cited by 83 publications

(123 citation statements)

References 12 publications

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“…The use of the cross section area of the hamstring tendon from magnetic resonance imaging (MRI) to predict the final hamstring autograft size for anterior cruciate ligament reconstruction has been described previously, and has proven to be a reliable method [14][15][16][17]. However, MRI is an expensive procedure and takes time to carry out.…”

Section: Discussionmentioning

confidence: 99%

Pre-operative ultrasonographic prediction of hamstring autograft size for anterior cruciate ligament reconstruction surgery

et al. 2018

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Objectives To evaluate the feasibility of ultrasonographic examination in predicting 4-strand semitendinosus and gracilis tendon (4S-STG) autograft size preoperatively in anterior cruciate ligament reconstruction and to evaluate the use of anthropometric measurement to predict the 4-strand semitendinosus and gracilis tendons (4S-STG) autograft size pre-operatively in anterior cruciate ligament reconstruction.

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Section: Discussionmentioning

confidence: 99%

Pre-operative ultrasonographic prediction of hamstring autograft size for anterior cruciate ligament reconstruction surgery

et al. 2018

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“…And these studies focused on the correlation between CSA and diameter of hamstring tendon on preoperative MRI and intraoperative hamstring graft size. [1,[6][7][8] For this reason, standard sections were evaluated for the comparisons. Wernecke et al, [6] Bickel et al, [7] and Erquicia et al [8] measured the ST diameter at the level of the largest region of the medial femoral condyle, and Beyzadeoglu et al [1] measured at two different levels -distal to the musculotendinous junction and at the level of the JL.…”

Section: Discussionmentioning

confidence: 99%

“…However, 7 mm was considered as the baseline threshold value in some MRI studies. [1,6,7] Measurements were performed under × 10 magnification by an observer blinded to the intraoperative measurements of the autograft diameter. A significant statistical correlation was found between the diameter of the 4-stranded ST autograft and ML diameter and the AP diameter at both levels.…”

Section: Discussionmentioning

confidence: 99%

“…[1,[6][7][8][9][10] In all studies about this subject, both gracilis tendon (GT) and semitendinosus tendon (ST) were used for ACL reconstruction. [1,[6][7][8][9][10] Some authors prefer both ST and GT to obtain 4-stranded autograft, whereas some of them prefer only ST in singlebundle ACL reconstruction. [7,11] This present study was designed for primary ACL reconstruction technique with 4-stranded ST autograft.…”

Section: Introductionmentioning

confidence: 99%

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Clinicoradiological correlation between preoperative measurement of ACL footprint on MRI and intra operative semitendinosis graft diameter

Shetty¹,

Deore²,

Dhond³

et al. 2018

Int. J. Orthop. Sci.

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Aims & Objectives:To assess the accuracy of preoperative measurement of Hamstring graft thickness using Magnetic Resonance Imaging (MRI) with intra-operative measurements. Materials: The present prospective type of clinical study was conducted. A total of 50 patients operated for Anterior Cruciate Ligament (ACL) reconstruction were selected for the study. Informed consent was obtained from all study participants. Patients who fulfilled the inclusion criteria were studied and evaluated. Results and Observations: It was observed that the maximum number of patients (56%) belonged to age group 21-30 years. The mean ± standard deviation of age was 31.04±6.58. It was observed that 72% of patients were males and 28% females, the mean ± standard deviation of anteroposterior (AP) and mediolateral (ML) diameter of semitendinosis on Magnetic Resonance Imaging at joint line was 6.34±0.88 and 6.57±0.71 respectively. The anteroposterior and mediolateral diameter of semitendinosis on Magnetic Resonance Imaging at physeal line was 6.71±0.61 and 6.99±0.39 respectively. It was observed that the measured values on Magnetic Resonance Imaging at joint level and physeal level correlated with the intraoperative values of semitendinosis graft and p value was significant. (p value<0.05). Conclusion: A significant statistical correlation was found between the diameter of the 4-stranded semitendinosis autograft and mediolateral diameter and the anteroposterior diameter at both levels.

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“…In addition, magnetic resonance imaging (MRI) is routinely performed to assess the ACL injury and to evaluate other concomitant ligament injuries. For this reason, MRI is readily available for use in preoperative planning with satisfactory accuracy and reliability when the autologous PT or hamstrings are considered as the graft source for ACL reconstruction [14][15][16] . Similarly, MRI assessment of QT dimensions would provide valuable information on the preoperative planning of an ACL reconstruction, without additional costs.…”

Section: Introductionmentioning

confidence: 99%

MRI evaluation to predict tendon size for knee ligament reconstruction

Grassedonio

Albano

Galia

et al. 2017

MLTJ

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SummaryBackground: The aim of this study is to evaluate a possible correlation between specific anthropometric parameters and sizes of knee tendons commonly used for ACL reconstruction. We hypothesized that specific clinical and radiological knee measurements could be better tendon sizes predictors than age, gender, height and weight. Materials and methods: 100 consecutive patients were enrolled and 77 patients met the inclusion criteria of the study. All patients underwent a MRI of the knee with a 1.5 T super conducting MR System. For each patient, anthropometric data such as gender, height, weight, body mass index (BMI) and knee circumference were recorded. Specific MRI knee measurements were performed on each study: patellar tendon (PT) thickness and length, quadriceps tendon (QT) thickness, semitendinosus tendon (ST) diameter, gracilis tendon (GR) diameter, the largest patella and intercondylar width. Results: The mean ST diameter, QT thickness and PT thickness were higher in males than in females. No significant differences were noted between males and females concerning GT diameter and the knee circumference. In addition, male knees had greater patellar and intercondylar width than female knees. Significant, but only weak correlations were found between patient anthropometric data and hamstrings diameter, PT length, and QT and PT thickness. Intercondylar and patellar width present a moderate correlation between PT thickness, PT length and ST diameter. Conclusion:The intercondylar and patellar width presented a moderate correlation with PT thickness, PT length and ST diameter. Further, weak correlations were found between patient anthropometric data (gender, weight, height, BMI) and GR and ST diameter, PT length, and QT and PT thickness. This results may help surgeons during preoperative planning, specifically regarding graft choice and size. Level of evidence: III.

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Using Magnetic Resonance Imaging to Predict Adequate Graft Diameters for Autologous Hamstring Double-Bundle Anterior Cruciate Ligament Reconstruction

Cited by 83 publications

References 12 publications

Pre-operative ultrasonographic prediction of hamstring autograft size for anterior cruciate ligament reconstruction surgery

Pre-operative ultrasonographic prediction of hamstring autograft size for anterior cruciate ligament reconstruction surgery

Clinicoradiological correlation between preoperative measurement of ACL footprint on MRI and intra operative semitendinosis graft diameter

MRI evaluation to predict tendon size for knee ligament reconstruction

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