Transepicondylar distance measured on MRI can predict the length of the graft required for different anterior cruciate ligament reconstruction (ACLR) techniques useful for revision surgery.
ACL revision
Anterolateral ligament (ALL) reconstruction
Graft length
Lateral extrarticular tenodesis (LET)
Transepicondylar distance
Journal
Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology
ISSN: 1590-9999
Titre abrégé: J Orthop Traumatol
Pays: Italy
ID NLM: 101090931
Informations de publication
Date de publication:
15 Oct 2022
15 Oct 2022
Historique:
received:
15
10
2021
accepted:
24
09
2022
entrez:
15
10
2022
pubmed:
16
10
2022
medline:
19
10
2022
Statut:
epublish
Résumé
The aim of this study is to find a correlation between linear measurements and the graft length required for different anterior cruciate ligament (ACL) revision techniques, to extract formulas to predict required graft length during the preoperative planning. At time 0 and 30 days later, two observers measured eight linear distances on standard 2D knee magnetic resonance imaging (MRI), and nine curved distances on 3D MRI sequences, corresponding to different techniques for ACL revision, anatomic anterolateral ligament (ALL) reconstruction, and lateral extrarticular tenodesis (LET). Intra- and interobserver reliability was tested for 2D and 3D measurements. The correlation between 2D and 3D measurements was tested. The 2D measurements with highest repeatability and reproducibility, and with strongest correlation with 3D measurements were used to extract formulas to calculate the graft length from 2D values. Fifty MRIs acquired with both 2D and 3D sequences were used. The intra- and interobserver reliability of linear 2D measurement was high, with the transepicondylar distance (TD) showing the highest reproducibility and repeatability. The intra- and interobserver reliability of 3D measurements was lower than 2D, but acceptable for all measurements except for ALL reconstruction. The TD showed the strongest correlation with 3D measurements. The formulas extracted to calculate the graft length from the TD proved to be accurate. Accurate formulas were created to calculate the graft length needed for different ACL revision techniques and ALL reconstruction/LET techniques from TD. These formulas can be used during preoperative planning of ACL revision cases.
Sections du résumé
BACKGROUND
BACKGROUND
The aim of this study is to find a correlation between linear measurements and the graft length required for different anterior cruciate ligament (ACL) revision techniques, to extract formulas to predict required graft length during the preoperative planning.
METHODS
METHODS
At time 0 and 30 days later, two observers measured eight linear distances on standard 2D knee magnetic resonance imaging (MRI), and nine curved distances on 3D MRI sequences, corresponding to different techniques for ACL revision, anatomic anterolateral ligament (ALL) reconstruction, and lateral extrarticular tenodesis (LET). Intra- and interobserver reliability was tested for 2D and 3D measurements. The correlation between 2D and 3D measurements was tested. The 2D measurements with highest repeatability and reproducibility, and with strongest correlation with 3D measurements were used to extract formulas to calculate the graft length from 2D values.
RESULTS
RESULTS
Fifty MRIs acquired with both 2D and 3D sequences were used. The intra- and interobserver reliability of linear 2D measurement was high, with the transepicondylar distance (TD) showing the highest reproducibility and repeatability. The intra- and interobserver reliability of 3D measurements was lower than 2D, but acceptable for all measurements except for ALL reconstruction. The TD showed the strongest correlation with 3D measurements. The formulas extracted to calculate the graft length from the TD proved to be accurate.
CONCLUSION
CONCLUSIONS
Accurate formulas were created to calculate the graft length needed for different ACL revision techniques and ALL reconstruction/LET techniques from TD. These formulas can be used during preoperative planning of ACL revision cases.
Identifiants
pubmed: 36242704
doi: 10.1186/s10195-022-00670-7
pii: 10.1186/s10195-022-00670-7
pmc: PMC9569264
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
50Informations de copyright
© 2022. The Author(s).
Références
J Bone Joint Surg Am. 2017 Jun 7;99(11):897-904
pubmed: 28590374
Anat Cell Biol. 2010 Sep;43(3):252-9
pubmed: 21212865
Musculoskelet Surg. 2019 Apr;103(1):55-61
pubmed: 30361837
Stat Methods Med Res. 1999 Jun;8(2):135-60
pubmed: 10501650
Knee Surg Sports Traumatol Arthrosc. 2006 Nov;14(11):1094-100
pubmed: 16845548
AJR Am J Roentgenol. 2011 Aug;197(2):442-50
pubmed: 21785092
Knee Surg Relat Res. 2016 Dec 01;28(4):319-324
pubmed: 27894180
Knee Surg Sports Traumatol Arthrosc. 2017 Jan;25(1):229-235
pubmed: 27440154
J Arthroplasty. 2007 Dec;22(8):1201-7
pubmed: 18078892
Am J Sports Med. 2017 Sep;45(11):2595-2603
pubmed: 28609131
Lancet. 1986 Feb 8;1(8476):307-10
pubmed: 2868172
Arthroscopy. 2018 Jan;34(1):243-250
pubmed: 29100776
Am J Sports Med. 2015 Feb;43(2):354-62
pubmed: 25540293
Am J Sports Med. 2015 Sep;43(9):2189-97
pubmed: 26093007
Knee Surg Sports Traumatol Arthrosc. 2015 Nov;23(11):3143-50
pubmed: 24972997
AJR Am J Roentgenol. 2012 Sep;199(3):W283-93
pubmed: 22915419
Arthrosc Sports Med Rehabil. 2019 Sep 26;1(1):e41-e46
pubmed: 32266339
J Orthop Surg (Hong Kong). 2017 Jan;25(1):2309499017690997
pubmed: 28228049
Oper Tech Orthop. 2017 Mar;27(1):63-69
pubmed: 28989265
J Bone Joint Surg Am. 2003;85-A Suppl 4:115-22
pubmed: 14652402
Am J Sports Med. 2018 Jun;46(7):1624-1631
pubmed: 29589954
AJR Am J Roentgenol. 2006 Jun;186(6):1778-82
pubmed: 16714673
J Anat. 2013 Oct;223(4):321-8
pubmed: 23906341
J Athl Train. 2015 Oct;50(10):1097-9
pubmed: 26509777
Int Orthop. 2016 Jan;40(1):173-81
pubmed: 26105766
Orthopedics. 2017 Jul 1;40(4):e617-e622
pubmed: 28437550
Am J Sports Med. 2004 Apr-May;32(3):629-34
pubmed: 15090377
Radiol Bras. 2016 Mar-Apr;49(2):69-74
pubmed: 27141127
Knee Surg Sports Traumatol Arthrosc. 1998;6(2):68-75
pubmed: 9604189
Sports Med Arthrosc Rev. 2013 Jun;21(2):129-34
pubmed: 23649161
Am J Sports Med. 2014 Oct;42(10):2363-70
pubmed: 25086064
Am J Sports Med. 2016 Jun;44(6):1502-7
pubmed: 26920430
Clin Orthop Relat Res. 1996 Oct;(331):35-46
pubmed: 8895617
Rev Bras Ortop. 2016 Apr 08;51(3):282-9
pubmed: 27274481
Arthrosc Tech. 2016 May 09;5(3):e453-7
pubmed: 27656361
Int Orthop. 2013 Aug;37(8):1575-81
pubmed: 23824520
Am J Sports Med. 2009 Apr;37(4):707-14
pubmed: 19193599
Arthroscopy. 2012 Aug;28(8):1094-103
pubmed: 22421566
Orthop Rev (Pavia). 2015 Jun 11;7(2):5773
pubmed: 26330991
Knee Surg Sports Traumatol Arthrosc. 2019 Jan;27(1):166-176
pubmed: 30046994
Clin Orthop Relat Res. 2017 Jan;475(1):170-182
pubmed: 27704318