Preoperative prediction of four stranded hamstring graft size in anterior cruciate ligament Reconstruction: Is magnetic resonance imaging evaluation of semitendinosus and gracillis tendon better than anthropometric data?
Bishnu Prasad , Sudhanshu Sekhar Das , Sudarsan Behera , Saroj Kumar Patra , Paulson Verghese , Ashish Kumar Satapathy
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Abstract
Background
To determine the correlation between intraoperative measurements of four-stranded hamstring grafts, preoperative MRI measurements, and anthropometric measurements. The study aimed to provide insights into graft diameter assessment and assist in the selection of hamstrings for graft preparation in the Indian population.
Material and methods
In this prospective study, 50 patients with complete anterior cruciate ligament (ACL) injuries, with or without meniscal injuries, were included. Prior to surgery, anthropometric data and the largest axial diameter of the semitendinous and gracilis tendon at the medial femoral epicondyle were measured. The study aimed to establish correlations between Final diameter of the graft, preoperative hamstring graft diameter and anthropometric measurements.
Results
Radiological data was found to predict graft diameter better than anthropometric data. Gracilis diameter was more specific for graft diameters ≥8 mm.
Conclusion
Preoperative hamstring tendon diameter in the MRI is better predictor as compared to anthropometric data to predict of four strandend size of the graft.
期刊介绍:
Journal of Clinical Orthopaedics and Trauma (JCOT) aims to provide its readers with the latest clinical and basic research, and informed opinions that shape today''s orthopedic practice, thereby providing an opportunity to practice evidence-based medicine. With contributions from leading clinicians and researchers around the world, we aim to be the premier journal providing an international perspective advancing knowledge of the musculoskeletal system. JCOT publishes content of value to both general orthopedic practitioners and specialists on all aspects of musculoskeletal research, diagnoses, and treatment. We accept following types of articles: • Original articles focusing on current clinical issues. • Review articles with learning value for professionals as well as students. • Research articles providing the latest in basic biological or engineering research on musculoskeletal diseases. • Regular columns by experts discussing issues affecting the field of orthopedics. • "Symposia" devoted to a single topic offering the general reader an overview of a field, but providing the specialist current in-depth information. • Video of any orthopedic surgery which is innovative and adds to present concepts. • Articles emphasizing or demonstrating a new clinical sign in the art of patient examination is also considered for publication. Contributions from anywhere in the world are welcome and considered on their merits.