Prediction of flexor tendon graft diameter in reconstruction of the anterior cruciate ligament by means of magnetic resonance imaging
ABSTRACT OBJECTIVE: To evaluate the diameter of the flexor tendons in preoperative magnetic resonance imaging (MRI) examinations and compare this with the diameter of the graft obtained intraoperatively. METHODS: This was a retrospective longitudinal epidemiological study. Forty-four patients we...
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| Format: | Article |
| Language: | English |
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Thieme Revinter Publicações Ltda.
2016-08-01
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| Series: | Revista Brasileira de Ortopedia |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162016000400405&lng=en&tlng=en |
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| author | Fabiano Kupczik Luiz Otávio Bombonatto Tauscheck Marlus Eduardo Gunia Schiavon Bruno Sbrissia Lucio Sergio Rocha Ernlund Ricardo Augusto Lass Alves |
| author_facet | Fabiano Kupczik Luiz Otávio Bombonatto Tauscheck Marlus Eduardo Gunia Schiavon Bruno Sbrissia Lucio Sergio Rocha Ernlund Ricardo Augusto Lass Alves |
| author_sort | Fabiano Kupczik |
| collection | DOAJ |
| description | ABSTRACT OBJECTIVE: To evaluate the diameter of the flexor tendons in preoperative magnetic resonance imaging (MRI) examinations and compare this with the diameter of the graft obtained intraoperatively. METHODS: This was a retrospective longitudinal epidemiological study. Forty-four patients were eligible for the study and their MRI examinations and surgical data were evaluated. The tendons were measured on MRI across their largest diameter in the axial plane, using the medial epicondyle of the femur as the slice level. In the surgery, routine graft preparation was performed, consisting of folding the gracilis and semitendinosus tendons to form a four-strand graft. Its measurement was recorded. RESULTS: To evaluate the association between the variables, Pearson's correlation coefficient was estimated. A significant correlation was found between the measurements of the gracilis and semitendinosus tendons and the final diameter of the graft (p < 0.001). A ROC curve was fitted to the sum of the tendon diameters in order to determine a cutoff point associated with the graft diameter (≤8 mm or >8 mm). If the sum was greater than 5.28 mm, the chance of obtaining a graft larger than 8 mm would be 75%. CONCLUSION: Measurement of the diameters of the gracilis and semitendinosus tendons through a preoperative MRI examination is a simple and effective way to predict the final size of the graft to be used in ACL reconstruction surgery. |
| first_indexed | 2024-03-08T08:36:54Z |
| format | Article |
| id | doaj.art-fa7351cf5f6c4b2dacb4820afe7eafe5 |
| institution | Directory Open Access Journal |
| issn | 1982-4378 |
| language | English |
| last_indexed | 2024-04-24T14:13:37Z |
| publishDate | 2016-08-01 |
| publisher | Thieme Revinter Publicações Ltda. |
| record_format | Article |
| series | Revista Brasileira de Ortopedia |
| spelling | doaj.art-fa7351cf5f6c4b2dacb4820afe7eafe52024-04-03T08:58:42ZengThieme Revinter Publicações Ltda.Revista Brasileira de Ortopedia1982-43782016-08-0151440541110.1016/j.rboe.2016.06.002S0102-36162016000400405Prediction of flexor tendon graft diameter in reconstruction of the anterior cruciate ligament by means of magnetic resonance imagingFabiano KupczikLuiz Otávio Bombonatto TauscheckMarlus Eduardo Gunia SchiavonBruno SbrissiaLucio Sergio Rocha ErnlundRicardo Augusto Lass AlvesABSTRACT OBJECTIVE: To evaluate the diameter of the flexor tendons in preoperative magnetic resonance imaging (MRI) examinations and compare this with the diameter of the graft obtained intraoperatively. METHODS: This was a retrospective longitudinal epidemiological study. Forty-four patients were eligible for the study and their MRI examinations and surgical data were evaluated. The tendons were measured on MRI across their largest diameter in the axial plane, using the medial epicondyle of the femur as the slice level. In the surgery, routine graft preparation was performed, consisting of folding the gracilis and semitendinosus tendons to form a four-strand graft. Its measurement was recorded. RESULTS: To evaluate the association between the variables, Pearson's correlation coefficient was estimated. A significant correlation was found between the measurements of the gracilis and semitendinosus tendons and the final diameter of the graft (p < 0.001). A ROC curve was fitted to the sum of the tendon diameters in order to determine a cutoff point associated with the graft diameter (≤8 mm or >8 mm). If the sum was greater than 5.28 mm, the chance of obtaining a graft larger than 8 mm would be 75%. CONCLUSION: Measurement of the diameters of the gracilis and semitendinosus tendons through a preoperative MRI examination is a simple and effective way to predict the final size of the graft to be used in ACL reconstruction surgery.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162016000400405&lng=en&tlng=enLigamento cruzado anteriorReconstrução do ligamento cruzado anteriorEspectroscopia de ressonância magnéticaProcedimentos ortopédicos |
| spellingShingle | Fabiano Kupczik Luiz Otávio Bombonatto Tauscheck Marlus Eduardo Gunia Schiavon Bruno Sbrissia Lucio Sergio Rocha Ernlund Ricardo Augusto Lass Alves Prediction of flexor tendon graft diameter in reconstruction of the anterior cruciate ligament by means of magnetic resonance imaging Revista Brasileira de Ortopedia Ligamento cruzado anterior Reconstrução do ligamento cruzado anterior Espectroscopia de ressonância magnética Procedimentos ortopédicos |
| title | Prediction of flexor tendon graft diameter in reconstruction of the anterior cruciate ligament by means of magnetic resonance imaging |
| title_full | Prediction of flexor tendon graft diameter in reconstruction of the anterior cruciate ligament by means of magnetic resonance imaging |
| title_fullStr | Prediction of flexor tendon graft diameter in reconstruction of the anterior cruciate ligament by means of magnetic resonance imaging |
| title_full_unstemmed | Prediction of flexor tendon graft diameter in reconstruction of the anterior cruciate ligament by means of magnetic resonance imaging |
| title_short | Prediction of flexor tendon graft diameter in reconstruction of the anterior cruciate ligament by means of magnetic resonance imaging |
| title_sort | prediction of flexor tendon graft diameter in reconstruction of the anterior cruciate ligament by means of magnetic resonance imaging |
| topic | Ligamento cruzado anterior Reconstrução do ligamento cruzado anterior Espectroscopia de ressonância magnética Procedimentos ortopédicos |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162016000400405&lng=en&tlng=en |
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