Patient’s Height and Sex Predict Graft Diameter: A Cohort Study of 4,519 Patients With Primary Anterior Cruciate Ligament Reconstruction Using Semitendinosus Autograft

IF 4.4 1区医学 Q1 ORTHOPEDICS Arthroscopy-The Journal of Arthroscopic and Related Surgery Pub Date : 2024-10-01 DOI:10.1016/j.arthro.2024.05.030

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Abstract

Purpose

To determine whether anthropometric measurements (height and weight), sex, age, and preinjury Tegner Activity Scale (TAS) were predictors of the quadrupled semitendinosus (ST) graft diameter in primary anterior cruciate ligament reconstruction.

Methods

A total of 4,519 patients who underwent primary anterior cruciate ligament reconstruction with a quadrupled ST autograft were included. Anthropometric measurements (height and weight), sex, age, and preinjury TAS were collected. Correlation coefficients and multiple linear regression analysis were used to determine the relationships among graft diameter and anthropometrics measurements (height and weight), sex, age, and preinjury TAS.

Results

The diameter of the quadrupled ST graft was correlated positively to height (r = 0.021, P < .001), age (r = 0.005, P < .001), and weight (r = 0.004, P = .001) and negatively to female sex (r = –0.297, P < .001). A regression equation was estimated to predict the ST graft diameter for men as 4.245 + 0.021 × height (cm) + 0.004 × age (years) + 0.005 × weight (kg) and for women as 3.969 + 0.021 × height (cm) + 0.004 × age (years) + 0.005 × weight (kg).

Conclusions

Height, age, and weight were positively correlated, whereas female sex was negatively correlated, to the diameter of the quadrupled ST graft. Knowledge of these factors can be used for the preoperative estimation of the graft diameter which can be helpful for appropriate graft choice.

Level of Evidence

Level III, retrospective cohort study.

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患者身高和性别可预测移植物直径。对 4519 名使用半腱肌自体移植物进行初级前交叉韧带重建的患者进行的队列研究

目的确定人体测量（身高和体重）、性别、年龄和受伤前泰格纳活动量表（Tegner Activity Scale，TAS）是否是原发性前交叉韧带重建术中四倍半腱肌（ST）移植物直径的预测因素。方法共纳入了 4519 名接受原发性前交叉韧带重建术并使用四倍 ST 自体移植物的患者。收集了人体测量数据（身高和体重）、性别、年龄和受伤前 TAS。使用相关系数和多元线性回归分析确定移植物直径与人体测量（身高和体重）、性别、年龄和受伤前 TAS 之间的关系。结果四倍ST移植物的直径与身高（r = 0.021，P < .001）、年龄（r = 0.005，P < .001）和体重（r = 0.004，P = .001）呈正相关，与女性性别（r = -0.297，P < .001）呈负相关。据估计，预测男性 ST 移植物直径的回归方程为：4.245 + 0.021 × 身高（厘米）+ 0.004 × 年龄（岁）+ 0.005 × 体重（公斤）；预测女性 ST 移植物直径的回归方程为：3.969 + 0.021 × 身高（厘米）+ 0.004 × 年龄（岁）+ 0.005 × 体重（公斤）。了解这些因素可用于术前估计移植物直径，从而有助于选择合适的移植物。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Arthroscopy-The Journal of Arthroscopic and Related Surgery 医学-外科

CiteScore

9.30

自引率

17.00%

发文量

555

审稿时长

58 days

期刊介绍： Nowhere is minimally invasive surgery explained better than in Arthroscopy, the leading peer-reviewed journal in the field. Every issue enables you to put into perspective the usefulness of the various emerging arthroscopic techniques. The advantages and disadvantages of these methods -- along with their applications in various situations -- are discussed in relation to their efficiency, efficacy and cost benefit. As a special incentive, paid subscribers also receive access to the journal expanded website.