Anthropometric Measurements of Hamstring Tendon Graft and Its Predictors in Ligament Reconstruction Surgeries of Knee: An Observational Study

T. Panigrahi, R. Maharaj, D. Nanda
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Abstract

Abstract Introduction  Hamstring graft use has been in the forefront of ligament reconstruction around the knee. With the increasing number of surgeries, the complications are equally on the rise. One of the detrimental factors for predicting the outcome is the diameter and length of the graft. We did an observational study to find out the relationship of patient factors with the morphometry of the graft. Materials and Methods  Total 484 patients were included in the study. Preoperatively, the age, sex, height, weight, and activity levels of the patients were noted. They were categorized into two major groups: physically active and inactive. The intraoperative measurements of the grafts were recorded. Analysis of variance for comparing the means of multiple groups was used for statistical analysis. Results  Among the total 484 patients, 407 were male and 77 were female. The semitendinosus graft diameter did not show any statistical significance to the age and weight of the patient. The mean graft diameter was highest in the 45 to 49-year age group. The average graft diameter in physically active group was 3.704 mm, and 3.503 mm in the inactive group. This and the height of the patient proved to have statistically significant relation with graft diameter. Conclusion  Physical activity along with the height of the patient must be taken into due consideration before embarking upon ligament reconstruction with hamstring graft in mind, as these two are found to determine the diameter and length of the hamstring graft.
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膝韧带重建手术中腘绳肌腱移植的人体测量及其预测因素:一项观察性研究
摘要介绍腘绳肌移植在膝关节周围韧带重建中一直处于前沿地位。随着手术数量的增加,并发症也在增加。预测预后的不利因素之一是移植物的直径和长度。我们做了一项观察性研究,以找出患者因素与移植物形态学的关系。材料与方法共纳入484例患者。术前记录患者的年龄、性别、身高、体重和活动量。他们被分为两大类:积极运动和不积极运动。记录移植物术中测量值。采用比较多组均数的方差分析进行统计分析。结果484例患者中,男性407例,女性77例。半腱肌移植物直径对患者的年龄和体重无统计学意义。平均移植物直径在45 ~ 49岁年龄组最大。运动组平均移植物直径为3.704 mm,不运动组平均移植物直径为3.503 mm。这和患者的身高证明与移植物直径有统计学意义的关系。结论在进行腘绳肌移植韧带重建之前,必须考虑到患者的身体活动和身高,因为这两个因素决定了腘绳肌移植的直径和长度。
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