ReviewInternational orthopaedics2016
Are pre-operative anthropometric parameters helpful in predicting length and thickness of quadrupled hamstring graft for ACL reconstruction in adults? A prospective study and literature review.
Review in International orthopaedics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 3 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
52 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Quadriceps tendon autograft diameters are routinely above 8 mm, and preoperative size estimation before anterior cruciate ligament reconstruction may not be necessary for this graft type: A systematic review.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Pooled it
- Comparison of clinical outcomes between hamstring tendon autografts and hybrid grafts in ACL reconstruction: a systematic review and meta-analysis.Journal of orthopaedic surgery and research · 2024Pooled it
- Correlation between anthropometric measurements and graft size in anterior cruciate ligament reconstruction: a systematic review and meta-analysis.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Pooled it
- Performance of 5-Strand Hamstring Autograft Anterior Cruciate Ligament Reconstruction in the STABILITY Study: A Subgroup Analysis.The American journal of sports medicine · 2022Trial
- Superior knee flexor strength at 2 years with all-inside short-graft anterior cruciate ligament reconstruction vs a conventional hamstring technique.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2019Trial
- Article
- Article
- Comparison of Braided and Nonbraided Hamstring Tendon Grafts in ACL Reconstruction: Impact on Graft Thickness, Rerupture Rates, and Clinical Outcomes.Orthopaedic journal of sports medicine · 2026Article
- Anterior Cruciate Ligament With Anterolateral Ligament Reconstruction Using Hamstring Autograft With Preserved Distal Attachment.Arthroscopy techniques · 2025Article
- Erratum.Arthroscopy techniques · 2025Article
- Height and weight predict cross-sectional area of the peroneus brevis and longus tendons: Magnetic resonance imaging-based analysis of 164 adults.Journal of experimental orthopaedics · 2025Article
- Anterior Cruciate Ligament Reconstruction With Unilateral 8-Strand Hamstring Tendon Autograft Demonstrated Promising Clinical, Radiological, and Second-Look Arthroscopic Outcomes at 2-Year Minimum Follow-up.Orthopaedic journal of sports medicine · 2025Article
- Relationship between body dimensions and the diameter of a 4-strand ACLR graft.Journal of experimental orthopaedics · 2025Article
- Predicting the Hamstring Graft Size for ACL Reconstruction Using a 3D Tendon Model in Preoperative MRI.Journal of clinical medicine · 2025Article
- Is There a Hamstring Autograft Diameter Threshold for Anterior Cruciate Ligament Reconstruction?Orthopaedic journal of sports medicine · 2025Article
- Use of Anthropometric Data for the Prediction of Four-Strand Hamstring Graft Size in White Caucasian Population.Journal of clinical medicine · 2025Article
- Minimizing Unnecessary Harvesting of an Extremely Thin Gracilis Tendon During ACL Reconstruction by Referencing the Diameter of the Doubled Semitendinosus Tendon Alone.Orthopaedic journal of sports medicine · 2025Article
- Comparison of Medial Hamstring Length Between Harvesting Methods Using Anterior and Posterior Approaches.Orthopaedic journal of sports medicine · 2024Article
- A novel practical method to predict anterior cruciate ligament hamstring graft size using preoperative MRI.Knee surgery & related research · 2024Article
- A fast, easy and reliable method for hamstrings graft size prediction in anterior cruciate ligament reconstruction.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeCross-sectional diameter of 7 mm or more of graft in anterior cruciate ligament reconstruction is arguably the single most important factor determining the success of the operation. Pre-operative anthropometric parameters have been reported to correlate with diameter of quadrupled hamstring graft, which is the most popular graft choice today. We conducted this prospective study to determine the value of some anthropometric measurements to predict the length of harvested semitendinosus and gracilis tendons and quadrupled hamstring graft diameter. We also assessed the reliability of the mathematical equation in accurately predicting the graft diameter.
methodsHeight, weight, BMI and thigh length of 160 patients who underwent primary ACL reconstruction was measured before surgery. Using multivariate logistic regression analysis length of harvested semitendinous and gracilis tendons along with quadrupled graft diameter were correlated to height, weight, BMI and thigh length.
resultsNinety-six percent had graft diameter of 7 mm or more. Height and thigh length were found to be most strongly correlating to both the length of harvested tendons and the quadrupled graft diameter (p ≤ 0.001, r = 0.25-0.39). Patients with height less than 147 cm were found to be at highest risk for inadequate graft diameter (less than 7 mm). Although the anthropometric parameters were found to be significantly related to height and thigh length, the strength of association is moderate. The mathematical equation for prediction of graft diameter using height was found to inaccurately over-predict the graft diameter in 33.1 % of cases, assessed using Bland-Altman plot.
conclusionAnthropometric parameters, especially height and thigh length, can serve as a guide to plan hamstring graft diameter and length before ACL reconstruction. But, it is not advisable to rely on mathematical equations for absolute values of graft parameters as there is risk of over-estimating hamstring length or graft thickness.
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Registered trials
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