ArticleThe Journal of bone and joint surgery. American volume2016
Change in Size of Hamstring Grafts During Preparation for ACL Reconstruction: Effect of Tension and Circumferential Compression on Graft Diameter.
Article in The Journal of bone and joint surgery. American volume, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.
- No difference between full thickness and partial thickness quadriceps tendon autografts in anterior cruciate ligament reconstruction: a systematic review.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2019Pooled it
- Article
- Design of an alternative implant to suturing in ACL reconstruction: a biomechanical in vitro study.BMC musculoskeletal disorders · 2025Article
- ACL Reconstruction in Skeletally Immature Athletes: Current Concepts.Medicina (Kaunas, Lithuania) · 2025Review
- Vertebropexy as a semi-rigid ligamentous alternative to lumbar spinal fusion.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2023Article
- Prediction of hamstring tendon autograft diameter using preoperative measurements with different cut-offs between genders.Journal of experimental orthopaedics · 2023Article
- Anterior Cruciate Ligament Sizing Tools Can Be Interchanged Without Affecting Graft Diameter Measurement.Arthroscopy, sports medicine, and rehabilitation · 2022Article
- Application of the 3D-MRI on post-operative graft assessment in adolescent patients with ACL reconstruction: A minimal 2-year follow-up.Frontiers in surgery · 2022Article
- Quadriceps Tendon Autograft in Pediatric ACL Reconstruction: Graft Dimensions and Prediction of Size on Preoperative MRI.Orthopaedic journal of sports medicine · 2021Article
- Reduction in Diameter of Hamstring Autograft With Additional Circumferential Preconditioning During ACL Reconstruction in a Pediatric Population.Orthopaedic journal of sports medicine · 2021Article
- Correlation of intra-operative hamstring autograft size with pre-operative anthropometric and MRI measurements.Journal of orthopaedics · 2018Article
- Hamstring Autograft in ACL Reconstruction: A 13-Year Predictive Analysis of Anthropometric Factors and Surgeon Trends Relating to Graft Size.Orthopaedic journal of sports medicine · 2018Article
- Simplifying Anterior Cruciate Ligament Graft Bone Plug Reconstructions: The "U" Trough Technique.Arthroscopy techniques · 2017Article
- Regression modelling combining MRI measurements and patient anthropometry for patient screening and prediction of graft diameter in hamstring autograft arthroscopic ACL reconstruction.Asia-Pacific journal of sports medicine, arthroscopy, rehabilitation and technology · 2017Article
- Hamstring graft for ACL reconstruction: does size matter?Annals of translational medicine · 2017Article
- Advances in anterior cruciate ligament reconstruction techniques.Annals of translational medicine · 2016Article
- Kinematic outcomes following ACL reconstruction.Current reviews in musculoskeletal medicine · 2016Review
- The 8-Strand Hamstring Autograft in Anterior Cruciate Ligament Reconstruction.Arthroscopy techniques · 2016Article
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThere is good consensus that anterior cruciate ligament (ACL) grafts should be pretensioned to remove creep prior to implantation, but the literature contains little information on the influence of graft preparation or circumferential compression on graft size. The purpose of this study was to investigate how the size of hamstring allografts changes as they are prepared for ACL reconstruction. We hypothesized that grafts decrease in diameter as they are prepared with both tension and circumferential compression. We also investigated the interrater reliability of graft diameter measurements during each step of graft preparation.
methodsTwenty pairs of fresh-frozen human hamstring tendons obtained from an allograft supplier were prepared in a standardized fashion for ACL reconstruction (suturing followed by longitudinal tensioning followed by circumferential compression followed by relaxation). Four blinded raters measured each graft in a sequential manner after each graft preparation step. Interrater reliability was assessed using the intraclass correlation coefficient ICC(2,1). The mean allograft diameter at each time point was calculated and compared across all time points using repeated-measures analysis of variance (ANOVA).
resultsSubjecting the grafts to both tension and circumferential compression significantly decreased their mean diameter (to 7.38 mm compared with 8.28 mm at baseline; p = 0.044). Interrater reliability revealed almost perfect agreement at each measurement interval, with the ICC ranging from 0.933 to 0.961.
conclusionsThe average diameter of hamstring ACL grafts decreases by almost 1 mm after they are subjected to both tension and circumferential compression within a standard cylindrical sizing block. CLINICAL RELEVANCE: Because ACL bone tunnels are drilled in 0.5-mm increments, preparing soft-tissue grafts with circumferential compression in addition to tension may allow creation of tunnels that are one to two incremental sizes smaller. This could permit less bone removal, which may be particularly applicable for certain reconstruction techniques such as pediatric, double-bundle, or revision ACL reconstruction, in which limited space is available for tunnel drilling.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.