Evaluation of ACL mid-substance cross-sectional area for reconstructed autograft selection
Purpose The purpose of this study was to compare the size of the native ACL mid-substance cross-sectional area and the size of commonly used autografts. Hypothesis of this study was that the reconstructed graft size with autografts would be smaller than the native ACL size. Methods Twelve non-paired...
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| Veröffentlicht in: | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA sports traumatology, arthroscopy : official journal of the ESSKA, 2014-01, Vol.22 (1), p.207-213 |
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| creator | Iriuchishima, Takanori Yorifuji, Hiroshi Aizawa, Shin Tajika, Yuki Murakami, Tohru Fu, Freddie H. |
| description | Purpose
The purpose of this study was to compare the size of the native ACL mid-substance cross-sectional area and the size of commonly used autografts. Hypothesis of this study was that the reconstructed graft size with autografts would be smaller than the native ACL size.
Methods
Twelve non-paired human cadaver knees were used. The ACL was carefully dissected, and the mid-substance of the ACL was cross-sectioned parallel to the articular surface of the femoral posterior condyles at 90 degrees of knee flexion. The size of the cross-sectional area of the ACL, and the femoral and tibial footprints were measured using Image J software (National Institute of Health). The semitendinosus tendon (ST) and the gracilis (G) tendon were harvested and prepared for ACL grafts. Simulating an ST graft, the ST was cut in half. The bigger half was regarded as the antero-medial (AM) bundle, and the remaining half was regarded as the postero-lateral (PL) bundle. Simulating an ST-G graft, the bigger half of the ST and G were regarded as the AM bundle, and the smaller half of the ST was regarded as the PL bundle. Each graft diameter was measured, and the graft area was calculated. Simulating a rectangular bone-patella tendon-bone (BPTB) graft, a 10-mm-wide BPTB graft was harvested and the area calculated.
Results
The sizes of the ACL mid-substance cross-sectional area, femoral and tibial ACL footprint were 46.9 ± 18.3, 60.1 ± 16.9 and 123.5 ± 12.5 mm
2
, respectively. The average areas of the ST, ST-G, and BPTB grafts were 52.0 ± 3.8, 64.4 ± 6.2, and 40.8 ± 6.7 mm
2
, respectively. The ST and BPTB grafts showed no significant difference in graft size when compared with the ACL cross-sectional area.
Conclusion
ST and BPTB autografts were able to reproduce the native size of the ACL mid-substance cross-sectional area. The ST-G graft was significantly larger than the ACL cross-sectional area. For clinical relevance, ST and BPTB grafts are recommended in order to reproduce the native size of the ACL in anatomical ACL reconstruction with autograft. |
| doi_str_mv | 10.1007/s00167-012-2356-0 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1492623456</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3171723891</sourcerecordid><originalsourceid>FETCH-LOGICAL-c471t-865c5c92a0fa849ac65e5d2f9b0bac2b7d10a8b8f08302ff9233a913281c0fa33</originalsourceid><addsrcrecordid>eNqNkU1r3DAQhkVJabZJf0AuQZBLL2pHkiVZx7CkH7DQS3PJRYxlKWzwWolkB_rvK8dpCYFCTxqY530F8xByxuETBzCfCwDXhgEXTEilGbwhG95IyYxszBHZgG3qBpQ-Ju9LuQOoY2PfkWMhhZZCwobcXD3iMOO0TyNNkV5ud_Sw71mZuzLh6AP1OZXCSvALggPFHJDGlGkOPo1lyrOfQk9xntJtxjjREoYVPiVvIw4lfHh-T8j1l6uf229s9-Pr9-3ljvnG8Im1WnnlrUCI2DYWvVZB9SLaDjr0ojM9B2y7NkIrQcRohZRouRQt9zUi5Qn5uPbe5_QwhzK5w774MAw4hjQXxxsrtJCN0v-DglEGYEEvXqF3ac71AgtlpLZWcVUpvlJPZ8ohuvu8P2D-5Ti4xZFbHbnqyC2OHNTM-XPz3B1C_zfxR0oFxAqUuhpvQ37x9T9bfwM9Bpto</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1473699515</pqid></control><display><type>article</type><title>Evaluation of ACL mid-substance cross-sectional area for reconstructed autograft selection</title><source>MEDLINE</source><source>Access via Wiley Online Library</source><source>SpringerLink Journals - AutoHoldings</source><creator>Iriuchishima, Takanori ; Yorifuji, Hiroshi ; Aizawa, Shin ; Tajika, Yuki ; Murakami, Tohru ; Fu, Freddie H.</creator><creatorcontrib>Iriuchishima, Takanori ; Yorifuji, Hiroshi ; Aizawa, Shin ; Tajika, Yuki ; Murakami, Tohru ; Fu, Freddie H.</creatorcontrib><description>Purpose
The purpose of this study was to compare the size of the native ACL mid-substance cross-sectional area and the size of commonly used autografts. Hypothesis of this study was that the reconstructed graft size with autografts would be smaller than the native ACL size.
Methods
Twelve non-paired human cadaver knees were used. The ACL was carefully dissected, and the mid-substance of the ACL was cross-sectioned parallel to the articular surface of the femoral posterior condyles at 90 degrees of knee flexion. The size of the cross-sectional area of the ACL, and the femoral and tibial footprints were measured using Image J software (National Institute of Health). The semitendinosus tendon (ST) and the gracilis (G) tendon were harvested and prepared for ACL grafts. Simulating an ST graft, the ST was cut in half. The bigger half was regarded as the antero-medial (AM) bundle, and the remaining half was regarded as the postero-lateral (PL) bundle. Simulating an ST-G graft, the bigger half of the ST and G were regarded as the AM bundle, and the smaller half of the ST was regarded as the PL bundle. Each graft diameter was measured, and the graft area was calculated. Simulating a rectangular bone-patella tendon-bone (BPTB) graft, a 10-mm-wide BPTB graft was harvested and the area calculated.
Results
The sizes of the ACL mid-substance cross-sectional area, femoral and tibial ACL footprint were 46.9 ± 18.3, 60.1 ± 16.9 and 123.5 ± 12.5 mm
2
, respectively. The average areas of the ST, ST-G, and BPTB grafts were 52.0 ± 3.8, 64.4 ± 6.2, and 40.8 ± 6.7 mm
2
, respectively. The ST and BPTB grafts showed no significant difference in graft size when compared with the ACL cross-sectional area.
Conclusion
ST and BPTB autografts were able to reproduce the native size of the ACL mid-substance cross-sectional area. The ST-G graft was significantly larger than the ACL cross-sectional area. For clinical relevance, ST and BPTB grafts are recommended in order to reproduce the native size of the ACL in anatomical ACL reconstruction with autograft.</description><identifier>ISSN: 0942-2056</identifier><identifier>EISSN: 1433-7347</identifier><identifier>DOI: 10.1007/s00167-012-2356-0</identifier><identifier>PMID: 23263230</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Aged ; Anatomy, Cross-Sectional ; Anterior Cruciate Ligament - anatomy & histology ; Anterior Cruciate Ligament - surgery ; Anterior Cruciate Ligament Reconstruction ; Autografts ; Cadaver ; Computers ; Female ; Humans ; Hypotheses ; Knee ; Knee Injuries - surgery ; Leg - surgery ; Ligaments ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Orthopedics ; Patellar Ligament - surgery ; Pneumatics ; Software ; Tendons - transplantation ; Thigh - surgery ; Tibia - surgery ; Transplants</subject><ispartof>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2014-01, Vol.22 (1), p.207-213</ispartof><rights>Springer-Verlag Berlin Heidelberg 2012</rights><rights>Springer-Verlag Berlin Heidelberg 2014</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c471t-865c5c92a0fa849ac65e5d2f9b0bac2b7d10a8b8f08302ff9233a913281c0fa33</citedby><cites>FETCH-LOGICAL-c471t-865c5c92a0fa849ac65e5d2f9b0bac2b7d10a8b8f08302ff9233a913281c0fa33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00167-012-2356-0$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00167-012-2356-0$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>315,781,785,27929,27930,41493,42562,51324</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23263230$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Iriuchishima, Takanori</creatorcontrib><creatorcontrib>Yorifuji, Hiroshi</creatorcontrib><creatorcontrib>Aizawa, Shin</creatorcontrib><creatorcontrib>Tajika, Yuki</creatorcontrib><creatorcontrib>Murakami, Tohru</creatorcontrib><creatorcontrib>Fu, Freddie H.</creatorcontrib><title>Evaluation of ACL mid-substance cross-sectional area for reconstructed autograft selection</title><title>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</title><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><description>Purpose
The purpose of this study was to compare the size of the native ACL mid-substance cross-sectional area and the size of commonly used autografts. Hypothesis of this study was that the reconstructed graft size with autografts would be smaller than the native ACL size.
Methods
Twelve non-paired human cadaver knees were used. The ACL was carefully dissected, and the mid-substance of the ACL was cross-sectioned parallel to the articular surface of the femoral posterior condyles at 90 degrees of knee flexion. The size of the cross-sectional area of the ACL, and the femoral and tibial footprints were measured using Image J software (National Institute of Health). The semitendinosus tendon (ST) and the gracilis (G) tendon were harvested and prepared for ACL grafts. Simulating an ST graft, the ST was cut in half. The bigger half was regarded as the antero-medial (AM) bundle, and the remaining half was regarded as the postero-lateral (PL) bundle. Simulating an ST-G graft, the bigger half of the ST and G were regarded as the AM bundle, and the smaller half of the ST was regarded as the PL bundle. Each graft diameter was measured, and the graft area was calculated. Simulating a rectangular bone-patella tendon-bone (BPTB) graft, a 10-mm-wide BPTB graft was harvested and the area calculated.
Results
The sizes of the ACL mid-substance cross-sectional area, femoral and tibial ACL footprint were 46.9 ± 18.3, 60.1 ± 16.9 and 123.5 ± 12.5 mm
2
, respectively. The average areas of the ST, ST-G, and BPTB grafts were 52.0 ± 3.8, 64.4 ± 6.2, and 40.8 ± 6.7 mm
2
, respectively. The ST and BPTB grafts showed no significant difference in graft size when compared with the ACL cross-sectional area.
Conclusion
ST and BPTB autografts were able to reproduce the native size of the ACL mid-substance cross-sectional area. The ST-G graft was significantly larger than the ACL cross-sectional area. For clinical relevance, ST and BPTB grafts are recommended in order to reproduce the native size of the ACL in anatomical ACL reconstruction with autograft.</description><subject>Aged</subject><subject>Anatomy, Cross-Sectional</subject><subject>Anterior Cruciate Ligament - anatomy & histology</subject><subject>Anterior Cruciate Ligament - surgery</subject><subject>Anterior Cruciate Ligament Reconstruction</subject><subject>Autografts</subject><subject>Cadaver</subject><subject>Computers</subject><subject>Female</subject><subject>Humans</subject><subject>Hypotheses</subject><subject>Knee</subject><subject>Knee Injuries - surgery</subject><subject>Leg - surgery</subject><subject>Ligaments</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Orthopedics</subject><subject>Patellar Ligament - surgery</subject><subject>Pneumatics</subject><subject>Software</subject><subject>Tendons - transplantation</subject><subject>Thigh - surgery</subject><subject>Tibia - surgery</subject><subject>Transplants</subject><issn>0942-2056</issn><issn>1433-7347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqNkU1r3DAQhkVJabZJf0AuQZBLL2pHkiVZx7CkH7DQS3PJRYxlKWzwWolkB_rvK8dpCYFCTxqY530F8xByxuETBzCfCwDXhgEXTEilGbwhG95IyYxszBHZgG3qBpQ-Ju9LuQOoY2PfkWMhhZZCwobcXD3iMOO0TyNNkV5ud_Sw71mZuzLh6AP1OZXCSvALggPFHJDGlGkOPo1lyrOfQk9xntJtxjjREoYVPiVvIw4lfHh-T8j1l6uf229s9-Pr9-3ljvnG8Im1WnnlrUCI2DYWvVZB9SLaDjr0ojM9B2y7NkIrQcRohZRouRQt9zUi5Qn5uPbe5_QwhzK5w774MAw4hjQXxxsrtJCN0v-DglEGYEEvXqF3ac71AgtlpLZWcVUpvlJPZ8ohuvu8P2D-5Ti4xZFbHbnqyC2OHNTM-XPz3B1C_zfxR0oFxAqUuhpvQ37x9T9bfwM9Bpto</recordid><startdate>20140101</startdate><enddate>20140101</enddate><creator>Iriuchishima, Takanori</creator><creator>Yorifuji, Hiroshi</creator><creator>Aizawa, Shin</creator><creator>Tajika, Yuki</creator><creator>Murakami, Tohru</creator><creator>Fu, Freddie H.</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7RV</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20140101</creationdate><title>Evaluation of ACL mid-substance cross-sectional area for reconstructed autograft selection</title><author>Iriuchishima, Takanori ; Yorifuji, Hiroshi ; Aizawa, Shin ; Tajika, Yuki ; Murakami, Tohru ; Fu, Freddie H.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c471t-865c5c92a0fa849ac65e5d2f9b0bac2b7d10a8b8f08302ff9233a913281c0fa33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Aged</topic><topic>Anatomy, Cross-Sectional</topic><topic>Anterior Cruciate Ligament - anatomy & histology</topic><topic>Anterior Cruciate Ligament - surgery</topic><topic>Anterior Cruciate Ligament Reconstruction</topic><topic>Autografts</topic><topic>Cadaver</topic><topic>Computers</topic><topic>Female</topic><topic>Humans</topic><topic>Hypotheses</topic><topic>Knee</topic><topic>Knee Injuries - surgery</topic><topic>Leg - surgery</topic><topic>Ligaments</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Orthopedics</topic><topic>Patellar Ligament - surgery</topic><topic>Pneumatics</topic><topic>Software</topic><topic>Tendons - transplantation</topic><topic>Thigh - surgery</topic><topic>Tibia - surgery</topic><topic>Transplants</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Iriuchishima, Takanori</creatorcontrib><creatorcontrib>Yorifuji, Hiroshi</creatorcontrib><creatorcontrib>Aizawa, Shin</creatorcontrib><creatorcontrib>Tajika, Yuki</creatorcontrib><creatorcontrib>Murakami, Tohru</creatorcontrib><creatorcontrib>Fu, Freddie H.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Proquest Nursing & Allied Health Source</collection><collection>Physical Education Index</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Iriuchishima, Takanori</au><au>Yorifuji, Hiroshi</au><au>Aizawa, Shin</au><au>Tajika, Yuki</au><au>Murakami, Tohru</au><au>Fu, Freddie H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Evaluation of ACL mid-substance cross-sectional area for reconstructed autograft selection</atitle><jtitle>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</jtitle><stitle>Knee Surg Sports Traumatol Arthrosc</stitle><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><date>2014-01-01</date><risdate>2014</risdate><volume>22</volume><issue>1</issue><spage>207</spage><epage>213</epage><pages>207-213</pages><issn>0942-2056</issn><eissn>1433-7347</eissn><abstract>Purpose
The purpose of this study was to compare the size of the native ACL mid-substance cross-sectional area and the size of commonly used autografts. Hypothesis of this study was that the reconstructed graft size with autografts would be smaller than the native ACL size.
Methods
Twelve non-paired human cadaver knees were used. The ACL was carefully dissected, and the mid-substance of the ACL was cross-sectioned parallel to the articular surface of the femoral posterior condyles at 90 degrees of knee flexion. The size of the cross-sectional area of the ACL, and the femoral and tibial footprints were measured using Image J software (National Institute of Health). The semitendinosus tendon (ST) and the gracilis (G) tendon were harvested and prepared for ACL grafts. Simulating an ST graft, the ST was cut in half. The bigger half was regarded as the antero-medial (AM) bundle, and the remaining half was regarded as the postero-lateral (PL) bundle. Simulating an ST-G graft, the bigger half of the ST and G were regarded as the AM bundle, and the smaller half of the ST was regarded as the PL bundle. Each graft diameter was measured, and the graft area was calculated. Simulating a rectangular bone-patella tendon-bone (BPTB) graft, a 10-mm-wide BPTB graft was harvested and the area calculated.
Results
The sizes of the ACL mid-substance cross-sectional area, femoral and tibial ACL footprint were 46.9 ± 18.3, 60.1 ± 16.9 and 123.5 ± 12.5 mm
2
, respectively. The average areas of the ST, ST-G, and BPTB grafts were 52.0 ± 3.8, 64.4 ± 6.2, and 40.8 ± 6.7 mm
2
, respectively. The ST and BPTB grafts showed no significant difference in graft size when compared with the ACL cross-sectional area.
Conclusion
ST and BPTB autografts were able to reproduce the native size of the ACL mid-substance cross-sectional area. The ST-G graft was significantly larger than the ACL cross-sectional area. For clinical relevance, ST and BPTB grafts are recommended in order to reproduce the native size of the ACL in anatomical ACL reconstruction with autograft.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>23263230</pmid><doi>10.1007/s00167-012-2356-0</doi><tpages>7</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0942-2056 |
| ispartof | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2014-01, Vol.22 (1), p.207-213 |
| issn | 0942-2056 1433-7347 |
| language | eng |
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| source | MEDLINE; Access via Wiley Online Library; SpringerLink Journals - AutoHoldings |
| subjects | Aged Anatomy, Cross-Sectional Anterior Cruciate Ligament - anatomy & histology Anterior Cruciate Ligament - surgery Anterior Cruciate Ligament Reconstruction Autografts Cadaver Computers Female Humans Hypotheses Knee Knee Injuries - surgery Leg - surgery Ligaments Male Medicine Medicine & Public Health Middle Aged Orthopedics Patellar Ligament - surgery Pneumatics Software Tendons - transplantation Thigh - surgery Tibia - surgery Transplants |
| title | Evaluation of ACL mid-substance cross-sectional area for reconstructed autograft selection |
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