Objective:While age has been recognized as a noteworthy factor in preoperative graft selection,the correlation between age and hamstring autograft diameter has been the subject of continued debate within the scientifi...Objective:While age has been recognized as a noteworthy factor in preoperative graft selection,the correlation between age and hamstring autograft diameter has been the subject of continued debate within the scientific community.This study aimed to explore the correlation between the diameter of autologous tendon grafts and age in anterior cruciate ligament reconstruction(ACLR).Methods:A retrospective review of 388 patients who underwent arthroscopic ACLR with hamstring autografts was performed.Patients were grouped by age to analyze differences in hamstring autograft dia-meter and tendon cross-sectional area(CSA).We explored the correlations between age and graft diameter and between age and the CSA of the popliteal tendon while controlling for the influence of other pertinent variables.Results:Compared with female patients,male patients presented significantly greater autograft diameters and hamstring tendon CSAs(P<0.05).Notably,graft diameter and hamstring tendon CSA varied significantly across different age groups(P<0.05);patients aged>32 years were substantially more likely to have a graft diameter exceeding 8 mm and a CSA surpassing 18.5 mm^(2) than their≤32-year-old counterparts were(P<0.05).Conclusion:This study revealed that graft diameter varies across different age groups,with age independently influencing graft diameter.展开更多
Rupture of the anterior cruciate ligament(ACL)is a common orthopedic injury.Various graft options are available for the reconstruction of ruptured ACL.Using the hamstring muscle as an autograft was first described in ...Rupture of the anterior cruciate ligament(ACL)is a common orthopedic injury.Various graft options are available for the reconstruction of ruptured ACL.Using the hamstring muscle as an autograft was first described in 1934,and it remains a commonly harvested graft for ACL reconstruction.Hamstring autografts can be harvested using the traditional anteromedial approach or the newer posteromedial technique.An isolated semitendinosus tendon can be used or combined with the gracilis tendon.There are numerous methods for graft fixation,such as intra-tunnel or extra-tunnel fixation.This comprehensive review discusses the different hamstring muscle harvesting techniques and graft preparation options and fixation methods.It provides a comprehensive overview for choosing the optimal surgical technique when treating patients.展开更多
基金This work was supported by the Fundamental Research Funds for the Central Universities(WK9110000143)the USTC Research Funds of the Double First-Class Initiative(YD9110002060)the Health Research Program of Anhui(AHWJ2022b060)。
文摘Objective:While age has been recognized as a noteworthy factor in preoperative graft selection,the correlation between age and hamstring autograft diameter has been the subject of continued debate within the scientific community.This study aimed to explore the correlation between the diameter of autologous tendon grafts and age in anterior cruciate ligament reconstruction(ACLR).Methods:A retrospective review of 388 patients who underwent arthroscopic ACLR with hamstring autografts was performed.Patients were grouped by age to analyze differences in hamstring autograft dia-meter and tendon cross-sectional area(CSA).We explored the correlations between age and graft diameter and between age and the CSA of the popliteal tendon while controlling for the influence of other pertinent variables.Results:Compared with female patients,male patients presented significantly greater autograft diameters and hamstring tendon CSAs(P<0.05).Notably,graft diameter and hamstring tendon CSA varied significantly across different age groups(P<0.05);patients aged>32 years were substantially more likely to have a graft diameter exceeding 8 mm and a CSA surpassing 18.5 mm^(2) than their≤32-year-old counterparts were(P<0.05).Conclusion:This study revealed that graft diameter varies across different age groups,with age independently influencing graft diameter.
文摘Rupture of the anterior cruciate ligament(ACL)is a common orthopedic injury.Various graft options are available for the reconstruction of ruptured ACL.Using the hamstring muscle as an autograft was first described in 1934,and it remains a commonly harvested graft for ACL reconstruction.Hamstring autografts can be harvested using the traditional anteromedial approach or the newer posteromedial technique.An isolated semitendinosus tendon can be used or combined with the gracilis tendon.There are numerous methods for graft fixation,such as intra-tunnel or extra-tunnel fixation.This comprehensive review discusses the different hamstring muscle harvesting techniques and graft preparation options and fixation methods.It provides a comprehensive overview for choosing the optimal surgical technique when treating patients.
