Abstract
PREDICTION OF QUADRUPLE AUTOLOGOUS HAMSTRING GRAFT DIAMETER IN ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION USING PREOPERATIVE ANTHROPOMETRIC MEASUREMENTS IN MIDDLE EAST POPULATION

Malek Mostafa Ghnaimat, MD., Mohammad Ahmad Abushahot, MD., Mohannad Ahmad Odat, MD., Ashraf Fowzat Omor, MD* and Mu’men Isoud Alshawish, MD

ABSTRACT

Background: Estimation of the final quadruple hamstring graft diameter in anterior cruciate ligament reconstruction could help surgeons to decide the type of graft and to be prepared for any additional procedures that might be needed to augment the unqualified grafts. We tried in this paper to investigate if there is any correlation between the preoperatively measured anthropometrics like height, weight, BMI index, and thigh circumference and the final diameter of the quadruple hamstring autograft in anterior cruciate ligament reconstruction. Hypothesis: Final Graft diameter would be influenced by Age, Thigh circumference (CM), Height (Meter), Weight (KG), and BMI index. Method: Anthropometric measurements of 70 consecutive adults who underwent arthroscopic ACL reconstruction in Queen Alia Hospital, Sport and Arthroscopy department between August-October 2021 were collected prospectively. The hamstring graft was prepared in a quadruple fashion and its final diameter was recorded intraoperatively. Multivariate linear regression was performed to assess the relation between quadruple hamstring graft diameter and the explanatory variables: Age, BMI Index, Height, weight, and Thigh circumference. Results: In multivariate analysis, age was the only factor that was associated with higher values of Graft diameter(MM). All other anthropometric measurements; Height (Meter), Thigh circumference (CM), Weight (KG), and BMI Index were not associated with the value of the final quadruple hamstring graft diameter(MM). Conclusion: The Results of this study demonstrate that apart from age all anthropometric measurements have no obvious relation with the final quadruple hamstring graft diameter on a sample of patients from The Middle East Region. Our recommendation is not to rely on these preoperative measurements to decide the type of the graft and to be always prepared for any additional procedures to augment the unqualified grafts.

Keywords: Anthropometric measurements, Autologous hamstring graft diameter, anterior cruciate ligament.


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