Comparison of stiffness, elasticity and resilience values of ACL with autografts used instead of ACL in terms of texture analysis

Background: Anterior cruciate ligament (ACL) ruptures are one of the most extensively studied injuries in the field of orthopedics, but despite the extensive research, graft selection for ACL reconstruction remains a matter of debate. The present study aims to evaluate the stiffness and elasticity o...

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Main Authors: Ahmet Mert, Selim Çınaroğlu, Murat Aydın, Fatih Çiçek, Faruk Gazi Ceranoğlu
Format: Article
Language:English
Published: Elsevier 2024-02-01
Series:Heliyon
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2405844024016190
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author Ahmet Mert
Selim Çınaroğlu
Murat Aydın
Fatih Çiçek
Faruk Gazi Ceranoğlu
author_facet Ahmet Mert
Selim Çınaroğlu
Murat Aydın
Fatih Çiçek
Faruk Gazi Ceranoğlu
author_sort Ahmet Mert
collection DOAJ
description Background: Anterior cruciate ligament (ACL) ruptures are one of the most extensively studied injuries in the field of orthopedics, but despite the extensive research, graft selection for ACL reconstruction remains a matter of debate. The present study aims to evaluate the stiffness and elasticity of native ACLs using texture profile analysis and compare results with those of autografts used in ACL reconstruction. Methods: Included in the study were dissected 12 cadavers from which grafts were recovered. The graft characteristics, such as stiffness, elasticity and resilience, were measured using a TA.XT Plus Texture Analyzer. Findings: Among the grafts studied, Achilles’ tendon graft (0.70; 0.64) had the highest resilience in both males and females, while the greatest elasticity was identified in the patellar tendon graft (Male: 93 %; Female: 94 %) in all subjects. The highest stiffness value in males was recorded for the quadriceps tendon graft (2928.76 N), while the highest stiffness value in females was recorded for Achilles’ tendon graft (2204.61 N). Interpretation: According to the study data, the autografts that may be considered as an alternative to ACL were, listed in order of strength from high to low, the quadriceps, Achilles’, patella and hamstring tendons in men, and the Achilles’, quadriceps, patellar and hamstring tendons in women. It is worthy of note that the hamstring tendon graft, which is the most frequently preferred autograft in ACL reconstruction, was found to be the lowest in all parameters in both groups.
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spelling doaj.art-6364dc1aa34c43af861b104edcae6b212024-02-17T06:41:30ZengElsevierHeliyon2405-84402024-02-01103e25588Comparison of stiffness, elasticity and resilience values of ACL with autografts used instead of ACL in terms of texture analysisAhmet Mert0Selim Çınaroğlu1Murat Aydın2Fatih Çiçek3Faruk Gazi Ceranoğlu4Department of Orthopedics and Traumatology, Faculty of Medicine, Niğde Ömer Halisdemir University, TR-51240, Niğde, TurkeyDepartment of Anatomy, Faculty of Medicine, Niğde Ömer Halisdemir University, TR-51240, Niğde, Turkey; Corresponding author. Niğde Ömer Halisdemir University Central Campus, Faculty of Medicine, Bor Road 51240 Center, Niğde, Turkey.Department of Orthopedics and Traumatology, Faculty of Medicine, Niğde Ömer Halisdemir University, TR-51240, Niğde, TurkeyDepartment of Anatomy, Faculty of Medicine, Niğde Ömer Halisdemir University, TR-51240, Niğde, TurkeyDepartment of Anatomy, Faculty of Medicine, Niğde Ömer Halisdemir University, TR-51240, Niğde, TurkeyBackground: Anterior cruciate ligament (ACL) ruptures are one of the most extensively studied injuries in the field of orthopedics, but despite the extensive research, graft selection for ACL reconstruction remains a matter of debate. The present study aims to evaluate the stiffness and elasticity of native ACLs using texture profile analysis and compare results with those of autografts used in ACL reconstruction. Methods: Included in the study were dissected 12 cadavers from which grafts were recovered. The graft characteristics, such as stiffness, elasticity and resilience, were measured using a TA.XT Plus Texture Analyzer. Findings: Among the grafts studied, Achilles’ tendon graft (0.70; 0.64) had the highest resilience in both males and females, while the greatest elasticity was identified in the patellar tendon graft (Male: 93 %; Female: 94 %) in all subjects. The highest stiffness value in males was recorded for the quadriceps tendon graft (2928.76 N), while the highest stiffness value in females was recorded for Achilles’ tendon graft (2204.61 N). Interpretation: According to the study data, the autografts that may be considered as an alternative to ACL were, listed in order of strength from high to low, the quadriceps, Achilles’, patella and hamstring tendons in men, and the Achilles’, quadriceps, patellar and hamstring tendons in women. It is worthy of note that the hamstring tendon graft, which is the most frequently preferred autograft in ACL reconstruction, was found to be the lowest in all parameters in both groups.http://www.sciencedirect.com/science/article/pii/S2405844024016190Anterior cruciate ligamentAutograftTexture profile analysisKneeReconstruction
spellingShingle Ahmet Mert
Selim Çınaroğlu
Murat Aydın
Fatih Çiçek
Faruk Gazi Ceranoğlu
Comparison of stiffness, elasticity and resilience values of ACL with autografts used instead of ACL in terms of texture analysis
Heliyon
Anterior cruciate ligament
Autograft
Texture profile analysis
Knee
Reconstruction
title Comparison of stiffness, elasticity and resilience values of ACL with autografts used instead of ACL in terms of texture analysis
title_full Comparison of stiffness, elasticity and resilience values of ACL with autografts used instead of ACL in terms of texture analysis
title_fullStr Comparison of stiffness, elasticity and resilience values of ACL with autografts used instead of ACL in terms of texture analysis
title_full_unstemmed Comparison of stiffness, elasticity and resilience values of ACL with autografts used instead of ACL in terms of texture analysis
title_short Comparison of stiffness, elasticity and resilience values of ACL with autografts used instead of ACL in terms of texture analysis
title_sort comparison of stiffness elasticity and resilience values of acl with autografts used instead of acl in terms of texture analysis
topic Anterior cruciate ligament
Autograft
Texture profile analysis
Knee
Reconstruction
url http://www.sciencedirect.com/science/article/pii/S2405844024016190
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