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


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2020-02-12

AUTHORS

Du-Hyun Ro, Sahnghoon Lee, Yool Cho, Young-Min Lee, Myung-Chul Lee, Seong Hwan Kim

ABSTRACT

BackgroundTo 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 MethodsFifty-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.ResultsThe 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).ConclusionsCombining radiographic length measurements with demographic data showed reliable prediction in identifying the risk of inappropriate graft diameters.Level of EvidenceLevel IV retrospective cohort study. More... »

PAGES

444-453

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s43465-019-00014-4

DOI

http://dx.doi.org/10.1007/s43465-019-00014-4

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1124843204

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/32549959


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