Evidence map›Paper›PMID 28785789›Full record

ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2018

ACL reconstruction using 5- or 6-strand hamstring autograft provides graft's diameter bigger than 8 mm.

Vytautas Tutkus, Karolis Kluonaitis, Simona Silove, Janina Tutkuviene

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Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Vytautas TutkusCentre of Plastic and Reconstructive Surgery, Faculty of Medicine, Vilnius University, Santariskiu str. 2, 08661, Vilnius, Lithuania. vytautas_tutkus@yahoo.com.
Karolis KluonaitisFaculty of Medicine, Vilnius University, Ciurlionio str. 21/27, 03101, Vilnius, Lithuania.
Simona SiloveDepartment of Anatomy, Histology and Anthropology, Vilnius University, Ciurlionio str. 21/27, 03101, Vilnius, Lithuania.
Janina TutkuvieneDepartment of Anatomy, Histology and Anthropology, Vilnius University, Ciurlionio str. 21/27, 03101, Vilnius, Lithuania.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe objective of this study was to measure the diameters of 5- and 6-strand hamstring autografts and to evaluate the predictability of their thickness by other body size indices.

methodsData were collected from 122 skeletally mature adult patients, who had undergone arthroscopic anterior cruciate ligament reconstruction using only 5- or 6-strand hamstring autografts. The diameters of tibial and femoral ends of the grafts were measured with the precision of 0.5 mm. Multiple linear regression was performed to determine the relationship between autograft's thickness and body size indices.

resultsThe diameter of the femoral end of the 5-strand graft in male/female patients on average was 8.9/8.3 mm, while the femoral end of the 6-strand graft-9.3/8.5 mm (respectively). In 98.4% of the cases, 5- or 6-strand hamstring autografts were significantly thicker than 8 mm. In 5-strand group, a significant positive correlation was detected between the diameter of autograft's femoral end and patient's height (r = 0.55; p < 0.001), weight (r = 0.60; p < 0.001) and BMI (r = 0.43; p < 0.01). The 6-strand group had statistically significant correlations between the femoral end of the graft and height (r = 0.53; p < 0.001), and femoral end of the graft and weight (r = 0.50; p < 0.001).

conclusionsHamstring autografts were significantly thicker than 8 mm. Taller and heavier persons tended to have greater diameters of hamstring autografts; however, to better predict the diameter of autograft, body composition should be studied in relation to autograft's size. Preparation of 5- or 6-strand graft (using all the length of hamstring tendons) provides almost 100% of probability to obtain graft's diameter bigger than 8 mm. LEVEL OF EVIDENCE: Level III.

Indexed as

AdultAnterior Cruciate LigamentAnterior Cruciate Ligament ReconstructionArthroscopyFemaleFemurHamstring TendonsHumansMaleRetrospective StudiesTendonsTibiaTransplantation, Autologous5-strand6-strandACL reconstructionBody sizeHamstring graft

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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.