Updates in preoperative assessment of autograft diameter for reconstruction of anterior cruciate ligament
10.3760/cma.j.cn115530-20231222-00256
- VernacularTitle:前交叉韧带重建中自体移植物直径术前评估的研究进展
- Author:
Xixin JIN
1
;
Yongtao MAO
Author Information
1. 苏州大学附属第二医院关节外科，苏州 215006
- Keywords:
Anterior cruciate ligament;
Autograft;
Diameter;
Preoperative assessment
- From:
Chinese Journal of Orthopaedic Trauma
2024;26(3):267-271
- CountryChina
- Language:Chinese
-
Abstract:
The autograft diameter is crucial to a successful reconstruction of anterior cruciate ligament (ACL). It is recommended that the autograft diameter should be at least 8 mm to avoid the risk of re-rupture of the transplanted tendon. Hamstring tendon autografts are popular due to their biomechanical properties similar to those of the ACL, fewer complications, and better mid-to-long term effectiveness. However, the uncontrollable length and diameter of the tendon add intraoperative uncertainty to the surgery. This review explored the latest advances in predicting the graft diameter from measurement of individual data, preoperative multi-row CT and three-dimensional CT imaging, preoperative ultrasonic probe detection, and preoperative magnetic resonance imaging inspection, providing a basis to facilitate preoperative assessment of the graft diameter.
