Kilic Koray Kaya, Dogruoz Fırat, Egerci Omer Faruk, Yuncu Murat, Yapar Aliekber, Kose Ozkan
Department of Radiology, Antalya Training and Research Hospital, Antalya, Turkey.
Department of Orthopedics and Traumatology, Antalya Training and Research Hospital, Varlık mah., Kazım Karabekir cd., Muratpasa, 07100, Antalya, Turkey.
Knee Surg Relat Res. 2024 Oct 14;36(1):30. doi: 10.1186/s43019-024-00235-4.
This study aimed to evaluate the predictive value of anthropometric measurements for two-stranded peroneus longus tendon (PLT) graft thickness using ultrasonography MATERIALS AND METHODS: A prospective study was conducted on 204 healthy volunteers (102 males and 102 females) aged 18-40 years. Anthropometric measurements were recorded, including height, weight, body mass index (BMI), fibular length, calf circumference, and ankle circumference. The Tegner Activity Scale (TAS) was used to assess activity levels. PLT cross-sectional area (CSA) was measured using ultrasonography. Two-stranded PLT graft thickness was calculated using the previously reported formula by Luo et al. A thickness of less than 8 mm of PLT graft was accepted as an insufficient autograft for anterior cruciate ligament reconstruction (ACLR). Correlation and regression analyses were performed to identify predictors of two-stranded PLT graft thickness. Receiver operating characteristic (ROC) analysis was performed to establish the best threshold values.
Males had a significantly greater PLT CSA (0.17 ± 0.03 cm) and predicted two-stranded PLT graft thickness (8.1 ± 0.6 mm) compared with females (0.15 ± 0.03 cm and 7.5 ± 0.6 mm, respectively; p < 0.001 for both). Correlation analysis revealed that two-stranded PLT graft thickness positively correlated with height, weight, BMI, fibular length, calf circumference, ankle circumference, and Tegner Activity Scale in both genders, with stronger correlations observed in females. The logistic regression model identified height and calf circumference as significant predictors of sufficient two-stranded PLT graft thickness (≥ 8 mm) in males, while calf circumference and the TAS were significant predictors in females. ROC analysis demonstrated that calf circumference and the TAS had acceptable discriminatory abilities in females, with 36.25 cm and ≥ 4 cutoff points, respectively. However, no anthropometric variables in males exhibited strong discriminatory abilities for predicting two-stranded PLT graft thickness CONCLUSIONS: Calf circumference and the TAS are significant predictors for two-stranded PLT autograft thickness in females. However, no anthropometric variables in males could be used strongly for prediction. These anthropometric measurements can assist in preoperative planning and decision-making, potentially improving ACLR outcomes by ensuring adequate graft thickness in females.
Level II prospective study.
本研究旨在评估人体测量指标对超声测量的双股腓骨长肌腱（PLT）移植物厚度的预测价值。
对204名年龄在18至40岁的健康志愿者（102名男性和102名女性）进行了一项前瞻性研究。记录了人体测量指标，包括身高、体重、体重指数（BMI）、腓骨长度、小腿围度和踝围度。使用Tegner活动量表（TAS）评估活动水平。采用超声测量PLT横截面积（CSA）。双股PLT移植物厚度采用Luo等人先前报道的公式计算。PLT移植物厚度小于8mm被认为是前交叉韧带重建（ACLR）自体移植物不足。进行相关性和回归分析以确定双股PLT移植物厚度的预测因素。进行受试者操作特征（ROC）分析以确定最佳阈值。
与女性相比，男性的PLT CSA（0.17±0.03cm）和预测的双股PLT移植物厚度（8.1±0.6mm）显著更大（女性分别为0.15±0.03cm和7.5±0.6mm；两者p<0.001）。相关性分析显示，双股PLT移植物厚度与身高、体重、BMI、腓骨长度、小腿围度、踝围度和Tegner活动量表在两性中均呈正相关，在女性中相关性更强。逻辑回归模型确定身高和小腿围度是男性双股PLT移植物厚度足够（≥8mm）的显著预测因素，而小腿围度和TAS是女性的显著预测因素。ROC分析表明，小腿围度和TAS在女性中具有可接受的辨别能力，截断点分别为36.25cm和≥4。然而，男性的人体测量变量在预测双股PLT移植物厚度方面均未表现出强辨别能力。
小腿围度和TAS是女性双股PLT自体移植物厚度的显著预测因素。然而，男性的人体测量变量不能有力地用于预测。这些人体测量指标有助于术前规划和决策，通过确保女性移植物厚度足够可能改善ACLR结果。
II级前瞻性研究。
