Pre-operative MRI measurements versus anthropometric data: Which is more accurate in predicting 4-stranded hamstring graft size in anterior cruciate ligament reconstruction?
Autor: | Sean Wl. Ho, Keng Thiam Lee, Teong Jin Lester Tan, Lynn Thwin, Wei Yang Lim |
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Rok vydání: | 2020 |
Předmět: |
medicine.medical_specialty
Anterior cruciate ligament reconstruction Anterior cruciate ligament medicine.medical_treatment Physical Therapy Sports Therapy and Rehabilitation Surgical planning 03 medical and health sciences 0302 clinical medicine Magnetic resonance imaging medicine Orthopedics and Sports Medicine lcsh:Sports medicine 030222 orthopedics medicine.diagnostic_test business.industry Rehabilitation 030229 sport sciences Anthropometry Graft size Surgery medicine.anatomical_structure surgical procedures operative Original Article Anthropometric measurements business lcsh:RC1200-1245 Body mass index Hamstring Cohort study |
Zdroj: | Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilitation and Technology, Vol 22, Iss, Pp 5-9 (2020) Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilitation and Technology |
ISSN: | 2214-6873 |
Popis: | Background/objective: Graft diameter has been shown to play an important role in anterior cruciate ligament (ACL) autograft failure rates. The roles of pre-operative MRI measurement of graft size and anthropometric data have been studied in the prediction of hamstring graft size. Pre-operative knowledge of hamstring graft diameter allows surgeons to perform better surgical planning and provides an opportunity to discuss with patients on alternative graft options such as allografts should the need arises. The purpose of this study was to compare the accuracy of pre-operative anthropometric data and MRI measurements in the prediction of 4-stranded hamstring autograft size in anterior cruciate ligament reconstruction. Method: This was a cohort study involving 141 subjects (115 males and 26 females) who underwent a single bundle ACL reconstruction utilising a 4-stranded hamstring graft by a single surgeon from 2008 to 2012. Pre-operatively, the height, weight, body mass index (BMI), age, gender and smoking status was recorded. The MRI scans used for diagnosis were utilized to measure the gracilis (GT) and semi-tendinosus (ST) cross sectional area (CSA). Result: We found the strongest correlation between Combined (ST + GT) CSA and intra-operative graft size (r = 0.596, p |
Databáze: | OpenAIRE |
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