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Estimating the adequacy of the free quadriceps tendon autograft length using anthropometric measures in anterior cruciate ligament reconstruction
Objective This prospective study aimed to predict the adequacy of free quadriceps tendon (QT) autograft length using simple anthropometric measures. Materials and methods One hundred and eighty-four consecutive patients who underwent knee high-resolution MRI were enrolled in this study. The QT and n...
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| Published in: | Archives of orthopaedic and trauma surgery 2022-08, Vol.142 (8), p.2001-2010, Article 2001 |
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| container_end_page | 2010 |
| container_issue | 8 |
| container_start_page | 2001 |
| container_title | Archives of orthopaedic and trauma surgery |
| container_volume | 142 |
| creator | Yuksel, Yavuz Kose, Ozkan Torun, Ebru Ergun, Tarkan Yardibi, Fatma Sarikcioglu, Levent |
| description | Objective
This prospective study aimed to predict the adequacy of free quadriceps tendon (QT) autograft length using simple anthropometric measures.
Materials and methods
One hundred and eighty-four consecutive patients who underwent knee high-resolution MRI were enrolled in this study. The QT and native anterior cruciate ligament (ACL) length were measured using the oblique sagittal section. The adequate free QT length was calculated using the native ACL length and 30 mm for femoral and tibial tunnels in each patient. A QT shorter than the calculated length was considered inadequate. Age, sex, height, weight, body mass index, thigh circumference, and activity score were used to predict the adequacy of QT length with regression analysis.
Results
There were 92 men and 92 women with a mean age of 34.1 ± 8.0 years (range 18–45). The mean QT and ACL lengths were 69.0 ± 8.8 mm (range 48.1–90.3 mm) and 35.6 ± 2.5 mm (range 29.2–42.6 mm), respectively. The QT and the ACL lengths were longer in men (
p
|
| doi_str_mv | 10.1007/s00402-021-04197-0 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2579630967</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2579630967</sourcerecordid><originalsourceid>FETCH-LOGICAL-c352t-89c6e4aefeed36c82a173297cb2649375e664463141d1f430493432cf1f283293</originalsourceid><addsrcrecordid>eNp9Ubtu3DAQFIIYiOP4B1wRSONGCV-ixDIw_AhwQJqkJmhqqaMhkWdyVfgz_MemfAESuHC13OHM7GKnaS4Y_cYo7b8XSiXlLeWspZLpvqUfmlMmhWyFZurjf-9PzedSHihlfND0tHm-LhgWiyFOBPdA7AiPq3VPJPnX3mcAUpExBweHQhDimCKxK6YpW49khjjhnqxlc7AR9zkd0gJY-WQBW9YMhYS4fUEOKROXVxcsApnDZBeISDK4FAtWHEOKX5oTb-cC53_rWfPn5vr31V27-3X78-rHrnWi49gO2imQFjzAKJQbuGW94Lp391xJLfoOlJJSCSbZyLwUtIJScOeZ50MlirPm8uh7yOlxhYJmCcXBPNsIaS2Gd71WgmrVV-rXN9SHtOZYtzNcadZprbrNkB9ZLqdSMnhzyPW0-ckwaraUzDElU1MyrykZWkXDG5ELaLc7YLZhfl8qjtJS58QJ8r-t3lG9ADLiqYQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2691599659</pqid></control><display><type>article</type><title>Estimating the adequacy of the free quadriceps tendon autograft length using anthropometric measures in anterior cruciate ligament reconstruction</title><source>Springer Nature</source><creator>Yuksel, Yavuz ; Kose, Ozkan ; Torun, Ebru ; Ergun, Tarkan ; Yardibi, Fatma ; Sarikcioglu, Levent</creator><creatorcontrib>Yuksel, Yavuz ; Kose, Ozkan ; Torun, Ebru ; Ergun, Tarkan ; Yardibi, Fatma ; Sarikcioglu, Levent</creatorcontrib><description>Objective
This prospective study aimed to predict the adequacy of free quadriceps tendon (QT) autograft length using simple anthropometric measures.
Materials and methods
One hundred and eighty-four consecutive patients who underwent knee high-resolution MRI were enrolled in this study. The QT and native anterior cruciate ligament (ACL) length were measured using the oblique sagittal section. The adequate free QT length was calculated using the native ACL length and 30 mm for femoral and tibial tunnels in each patient. A QT shorter than the calculated length was considered inadequate. Age, sex, height, weight, body mass index, thigh circumference, and activity score were used to predict the adequacy of QT length with regression analysis.
Results
There were 92 men and 92 women with a mean age of 34.1 ± 8.0 years (range 18–45). The mean QT and ACL lengths were 69.0 ± 8.8 mm (range 48.1–90.3 mm) and 35.6 ± 2.5 mm (range 29.2–42.6 mm), respectively. The QT and the ACL lengths were longer in men (
p
< 0.001 for both). Twenty-three men and 39 women (total: 62, 33.7%) had inadequate QT length for a free QT autograft, and 6 patients (3 males, 3 females, 3.3%) had inadequate QT length with the bone block technique. There was a weak positive correlation between QT length and height (
p
< 0.001), weight (
p
< 0.001), and activity score (
p
= 0.007). Height was the only independent variable that predicted the QT length adequacy (
r
2
= 0.051,
p
= 0.009) but ROC analysis showed that height did not have an ability to detect a subject with an inadequate QT length (AUC: 0.384, 95% CI 0.300–0.468).
Conclusions
Free QT autografts may be inadequate in one-third of the patients, while a QT autograft with a bone block is almost always sufficient. Inadequate free QT autograft is more common in women. Although QT length correlated with height, it cannot be used as an accurate diagnostic tool to identify patients with an inadequate QT autograft. Preoperative measurement of the ACL and QT lengths by MRI might be beneficial to decide whether QT is usable, especially when harvesting without a bone block.
Level of evidence
Level II, diagnostic, prospective cohort study.</description><identifier>ISSN: 1434-3916</identifier><identifier>ISSN: 0936-8051</identifier><identifier>EISSN: 1434-3916</identifier><identifier>DOI: 10.1007/s00402-021-04197-0</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Arthroscopy and Sports Medicine ; Body mass index ; Body measurements ; Clinical outcomes ; Knee ; Ligaments ; Magnetic resonance imaging ; Medicine ; Medicine & Public Health ; Orthopedics ; Surgery ; Tendons ; Trauma</subject><ispartof>Archives of orthopaedic and trauma surgery, 2022-08, Vol.142 (8), p.2001-2010, Article 2001</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2021</rights><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2021.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c352t-89c6e4aefeed36c82a173297cb2649375e664463141d1f430493432cf1f283293</citedby><cites>FETCH-LOGICAL-c352t-89c6e4aefeed36c82a173297cb2649375e664463141d1f430493432cf1f283293</cites><orcidid>0000-0002-3805-4245 ; 0000-0002-2098-4145 ; 0000-0002-0825-6225 ; 0000-0001-8852-2708 ; 0000-0002-7679-9635 ; 0000-0003-0879-5285</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids></links><search><creatorcontrib>Yuksel, Yavuz</creatorcontrib><creatorcontrib>Kose, Ozkan</creatorcontrib><creatorcontrib>Torun, Ebru</creatorcontrib><creatorcontrib>Ergun, Tarkan</creatorcontrib><creatorcontrib>Yardibi, Fatma</creatorcontrib><creatorcontrib>Sarikcioglu, Levent</creatorcontrib><title>Estimating the adequacy of the free quadriceps tendon autograft length using anthropometric measures in anterior cruciate ligament reconstruction</title><title>Archives of orthopaedic and trauma surgery</title><addtitle>Arch Orthop Trauma Surg</addtitle><description>Objective
This prospective study aimed to predict the adequacy of free quadriceps tendon (QT) autograft length using simple anthropometric measures.
Materials and methods
One hundred and eighty-four consecutive patients who underwent knee high-resolution MRI were enrolled in this study. The QT and native anterior cruciate ligament (ACL) length were measured using the oblique sagittal section. The adequate free QT length was calculated using the native ACL length and 30 mm for femoral and tibial tunnels in each patient. A QT shorter than the calculated length was considered inadequate. Age, sex, height, weight, body mass index, thigh circumference, and activity score were used to predict the adequacy of QT length with regression analysis.
Results
There were 92 men and 92 women with a mean age of 34.1 ± 8.0 years (range 18–45). The mean QT and ACL lengths were 69.0 ± 8.8 mm (range 48.1–90.3 mm) and 35.6 ± 2.5 mm (range 29.2–42.6 mm), respectively. The QT and the ACL lengths were longer in men (
p
< 0.001 for both). Twenty-three men and 39 women (total: 62, 33.7%) had inadequate QT length for a free QT autograft, and 6 patients (3 males, 3 females, 3.3%) had inadequate QT length with the bone block technique. There was a weak positive correlation between QT length and height (
p
< 0.001), weight (
p
< 0.001), and activity score (
p
= 0.007). Height was the only independent variable that predicted the QT length adequacy (
r
2
= 0.051,
p
= 0.009) but ROC analysis showed that height did not have an ability to detect a subject with an inadequate QT length (AUC: 0.384, 95% CI 0.300–0.468).
Conclusions
Free QT autografts may be inadequate in one-third of the patients, while a QT autograft with a bone block is almost always sufficient. Inadequate free QT autograft is more common in women. Although QT length correlated with height, it cannot be used as an accurate diagnostic tool to identify patients with an inadequate QT autograft. Preoperative measurement of the ACL and QT lengths by MRI might be beneficial to decide whether QT is usable, especially when harvesting without a bone block.
Level of evidence
Level II, diagnostic, prospective cohort study.</description><subject>Arthroscopy and Sports Medicine</subject><subject>Body mass index</subject><subject>Body measurements</subject><subject>Clinical outcomes</subject><subject>Knee</subject><subject>Ligaments</subject><subject>Magnetic resonance imaging</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Orthopedics</subject><subject>Surgery</subject><subject>Tendons</subject><subject>Trauma</subject><issn>1434-3916</issn><issn>0936-8051</issn><issn>1434-3916</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><recordid>eNp9Ubtu3DAQFIIYiOP4B1wRSONGCV-ixDIw_AhwQJqkJmhqqaMhkWdyVfgz_MemfAESuHC13OHM7GKnaS4Y_cYo7b8XSiXlLeWspZLpvqUfmlMmhWyFZurjf-9PzedSHihlfND0tHm-LhgWiyFOBPdA7AiPq3VPJPnX3mcAUpExBweHQhDimCKxK6YpW49khjjhnqxlc7AR9zkd0gJY-WQBW9YMhYS4fUEOKROXVxcsApnDZBeISDK4FAtWHEOKX5oTb-cC53_rWfPn5vr31V27-3X78-rHrnWi49gO2imQFjzAKJQbuGW94Lp391xJLfoOlJJSCSbZyLwUtIJScOeZ50MlirPm8uh7yOlxhYJmCcXBPNsIaS2Gd71WgmrVV-rXN9SHtOZYtzNcadZprbrNkB9ZLqdSMnhzyPW0-ckwaraUzDElU1MyrykZWkXDG5ELaLc7YLZhfl8qjtJS58QJ8r-t3lG9ADLiqYQ</recordid><startdate>20220801</startdate><enddate>20220801</enddate><creator>Yuksel, Yavuz</creator><creator>Kose, Ozkan</creator><creator>Torun, Ebru</creator><creator>Ergun, Tarkan</creator><creator>Yardibi, Fatma</creator><creator>Sarikcioglu, Levent</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-3805-4245</orcidid><orcidid>https://orcid.org/0000-0002-2098-4145</orcidid><orcidid>https://orcid.org/0000-0002-0825-6225</orcidid><orcidid>https://orcid.org/0000-0001-8852-2708</orcidid><orcidid>https://orcid.org/0000-0002-7679-9635</orcidid><orcidid>https://orcid.org/0000-0003-0879-5285</orcidid></search><sort><creationdate>20220801</creationdate><title>Estimating the adequacy of the free quadriceps tendon autograft length using anthropometric measures in anterior cruciate ligament reconstruction</title><author>Yuksel, Yavuz ; Kose, Ozkan ; Torun, Ebru ; Ergun, Tarkan ; Yardibi, Fatma ; Sarikcioglu, Levent</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c352t-89c6e4aefeed36c82a173297cb2649375e664463141d1f430493432cf1f283293</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Arthroscopy and Sports Medicine</topic><topic>Body mass index</topic><topic>Body measurements</topic><topic>Clinical outcomes</topic><topic>Knee</topic><topic>Ligaments</topic><topic>Magnetic resonance imaging</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Orthopedics</topic><topic>Surgery</topic><topic>Tendons</topic><topic>Trauma</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yuksel, Yavuz</creatorcontrib><creatorcontrib>Kose, Ozkan</creatorcontrib><creatorcontrib>Torun, Ebru</creatorcontrib><creatorcontrib>Ergun, Tarkan</creatorcontrib><creatorcontrib>Yardibi, Fatma</creatorcontrib><creatorcontrib>Sarikcioglu, Levent</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Archives of orthopaedic and trauma surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yuksel, Yavuz</au><au>Kose, Ozkan</au><au>Torun, Ebru</au><au>Ergun, Tarkan</au><au>Yardibi, Fatma</au><au>Sarikcioglu, Levent</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Estimating the adequacy of the free quadriceps tendon autograft length using anthropometric measures in anterior cruciate ligament reconstruction</atitle><jtitle>Archives of orthopaedic and trauma surgery</jtitle><stitle>Arch Orthop Trauma Surg</stitle><date>2022-08-01</date><risdate>2022</risdate><volume>142</volume><issue>8</issue><spage>2001</spage><epage>2010</epage><pages>2001-2010</pages><artnum>2001</artnum><issn>1434-3916</issn><issn>0936-8051</issn><eissn>1434-3916</eissn><abstract>Objective
This prospective study aimed to predict the adequacy of free quadriceps tendon (QT) autograft length using simple anthropometric measures.
Materials and methods
One hundred and eighty-four consecutive patients who underwent knee high-resolution MRI were enrolled in this study. The QT and native anterior cruciate ligament (ACL) length were measured using the oblique sagittal section. The adequate free QT length was calculated using the native ACL length and 30 mm for femoral and tibial tunnels in each patient. A QT shorter than the calculated length was considered inadequate. Age, sex, height, weight, body mass index, thigh circumference, and activity score were used to predict the adequacy of QT length with regression analysis.
Results
There were 92 men and 92 women with a mean age of 34.1 ± 8.0 years (range 18–45). The mean QT and ACL lengths were 69.0 ± 8.8 mm (range 48.1–90.3 mm) and 35.6 ± 2.5 mm (range 29.2–42.6 mm), respectively. The QT and the ACL lengths were longer in men (
p
< 0.001 for both). Twenty-three men and 39 women (total: 62, 33.7%) had inadequate QT length for a free QT autograft, and 6 patients (3 males, 3 females, 3.3%) had inadequate QT length with the bone block technique. There was a weak positive correlation between QT length and height (
p
< 0.001), weight (
p
< 0.001), and activity score (
p
= 0.007). Height was the only independent variable that predicted the QT length adequacy (
r
2
= 0.051,
p
= 0.009) but ROC analysis showed that height did not have an ability to detect a subject with an inadequate QT length (AUC: 0.384, 95% CI 0.300–0.468).
Conclusions
Free QT autografts may be inadequate in one-third of the patients, while a QT autograft with a bone block is almost always sufficient. Inadequate free QT autograft is more common in women. Although QT length correlated with height, it cannot be used as an accurate diagnostic tool to identify patients with an inadequate QT autograft. Preoperative measurement of the ACL and QT lengths by MRI might be beneficial to decide whether QT is usable, especially when harvesting without a bone block.
Level of evidence
Level II, diagnostic, prospective cohort study.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><doi>10.1007/s00402-021-04197-0</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0002-3805-4245</orcidid><orcidid>https://orcid.org/0000-0002-2098-4145</orcidid><orcidid>https://orcid.org/0000-0002-0825-6225</orcidid><orcidid>https://orcid.org/0000-0001-8852-2708</orcidid><orcidid>https://orcid.org/0000-0002-7679-9635</orcidid><orcidid>https://orcid.org/0000-0003-0879-5285</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1434-3916 |
| ispartof | Archives of orthopaedic and trauma surgery, 2022-08, Vol.142 (8), p.2001-2010, Article 2001 |
| issn | 1434-3916 0936-8051 1434-3916 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2579630967 |
| source | Springer Nature |
| subjects | Arthroscopy and Sports Medicine Body mass index Body measurements Clinical outcomes Knee Ligaments Magnetic resonance imaging Medicine Medicine & Public Health Orthopedics Surgery Tendons Trauma |
| title | Estimating the adequacy of the free quadriceps tendon autograft length using anthropometric measures in anterior cruciate ligament reconstruction |
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