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J Knee Surg 2022; 35(14): 1556-1562
DOI: 10.1055/s-0041-1727112
Original Article

Preoperative Determination of the Size of the Semitendinosus and Gracilis Tendon by Multidetector Row CT Scanner for Anterior Cruciate Ligament Reconstruction

Authors

  • Pham N. Truong

    1   Department of Trauma and Orthopeadic, 198 Hospital, Hanoi, Vietnam

  • Ngo V. Toan

    2   Department of Trauma and Orthopeadic 1, VietDuc Hospital, Hanoi, Vietnam

  • Vũ H. Nam

    1   Department of Trauma and Orthopeadic, 198 Hospital, Hanoi, Vietnam

  • William H. Fang 

    3   Department of Translational Research, Western University of Health Sciences, Pomona, California

  • C. Thomas Vangsness Jr 

    4   Department of Orthopaedics, Keck School of Medicine, USC, Los Angeles, California

  • Bo Han

    5   Department of Surgery, Keck School of Medicine USC, Los Angeles, California

  • Ba X. Hoang

    5   Department of Surgery, Keck School of Medicine USC, Los Angeles, California
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Abstract

Accurately measuring the length and diameter of the hamstring tendon autograft preoperatively is important for planning anterior cruciate ligament (ACL) reconstructive surgery. The purpose of this study was to assess the reliability of three-dimensional computed tomography (3D CT) scanning technique to produce the actual measurement of the gracilis and semitendinosus (GT and ST, respectively) tendon grafts' length and diameter for surgery. Ninety patients were scheduled for ACL reconstruction with hamstring autograft. Before the surgery, patients were examined under the multidetector row CT scanner and the ST and GT tendons were qualitatively measured by a volume-rendering technique. The length of ST and GT was measured with 3D CT compared with the length of the harvested ST and GT. The cross-sectional area (CSA) of ST and GT measured with 3D CT compared with the ST and GT graft diameter. Tendon size measured preoperatively and during surgery were statistically compared and correlated. The GT tendons length and cross-sectional area measured during surgery was both shorter and smaller compared with the ST tendon. GT and ST tendon length were correlated to patients' body index such as the height and weight (p < 0.05). However, the correlation levels were low to medium (r = 0.23–0.49). There was strong correlation between the lengths of GT (r = 0.76; p < 0.001) and ST (r = 0.87; p < 0.001) measured with the 3D CT and tendon length at surgery. There was a moderate correlation between graft diameter measured at surgery and 3D CT cross-sectional area (r = 0.31; p < 0.05). A multidetector row CT scanner can determine the ST and GT tendons' length and diameter. These measurements can be used for preoperative planning to help determine the surgical method and counsel patients on appropriate graft choices prior to surgery.

Keywords

anterior cruciate ligament - prediction of tendon size - hamstring tendon size - 3D CT volume rendering

Note

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. This research was approved by Ethical Review Board of Hanoi Medical University (approval no.: 187/HĐĐĐĐHYHN). Informed consent was obtained from the patients included in the study.




Publikationsverlauf

Eingereicht: 11. Oktober 2019

Angenommen: 12. Februar 2021

Artikel online veröffentlicht:
14. April 2021

© 2021. Thieme. All rights reserved.

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 

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