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Factors that Predicts the Size of Autologous Hamstring Tendon Graft for Double-Bundle ACL Reconstruction

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Indian Journal of Orthopaedics Aims and scope Submit manuscript

Abstract

Background

To evaluate the effectiveness of demographic data and radiographic measurements for predicting the diameter and length of autologous semitendinosus (ST) and gracilis (GR) graft.

Materials and Methods

Fifty-four cases were included to measure the size of 3 or 4 strands of ST and GR tendons retrospectively. The hamstring length on radiograph was defined as the length from the lowest point of ischial tuberosity to intercondylar notch of the femur. The linear and logistic regression analysis was used to assess the roles of the predictor variables, as demographic and radiologic data, in the outcome variables, as diameter of tendon grafts. The cross-validation with hold-out samples and concordance correlation coefficient (CCC) were also calculated.

Results

The hamstring and leg length measurement and gender were associated with the diameter of 4-stranded ST tendon graft. The hamstring length measurement, age and BMI were the factors associated with the diameter of 3-stranded ST tendon graft. The hamstring length measurement was found as a common factor for predicting diameters of hamstring tendon with reliable predictability. Moreover, the equation of multivariate regression analysis for the diameter of 4-stranded ST tendon graft showed the most validated power of prediction. All of the cross-validated R2 values were calculated as similar results of multivariate model, but CCC between the measured diameter and estimated value on the predictive equation showed moderate agreement only (CCC = 0.694).

Conclusions

Combining radiographic length measurements with demographic data showed reliable prediction in identifying the risk of inappropriate graft diameters.

Level of Evidence

Level IV retrospective cohort study.

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Authors and Affiliations

  1. Department of Orthopedic Surgery, Seoul National University Hospital, 101 Daehak-Ro Jongno-Gu, Seoul, 110-744, South Korea

    Du-Hyun Ro, Sahnghoon Lee, Yool Cho, Young-Min Lee & Myung-Chul Lee

  2. Department of Orthopedic Surgery, Hyundae General Hospital, Chung-Ang University College of Medicine, Seoul, South Korea

    Seong Hwan Kim

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  1. Du-Hyun Ro
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  2. Sahnghoon Lee
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  3. Yool Cho
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  4. Young-Min Lee
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  5. Myung-Chul Lee
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Contributions

SL: Revised manuscript; DR: Review this study and analysis, designed study; YC: Data collection and analysis; YL: Data collection and analysis; ML: Review this study and revised manuscript; SHK: Writing paper and analysis, study design.

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Correspondence to Seong Hwan Kim.

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The authors declare that they have no conflict of interest.

Ethical standard statement

The study was approved by the institutional review board. This study is original, performed honestly, and there are no similar studies.

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Informed consent was obtained from all participants included in this study.

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This study is performed in Seoul National University.

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Ro, DH., Lee, S., Cho, Y. et al. Factors that Predicts the Size of Autologous Hamstring Tendon Graft for Double-Bundle ACL Reconstruction. JOIO 54, 444–453 (2020). https://doi.org/10.1007/s43465-019-00014-4

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  • DOI: https://doi.org/10.1007/s43465-019-00014-4

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