Arora Manit, Tapasvi Sachin, Shukla Tapish, Jani Chiranjeev
Present Address: Department of Orthopaedics and Sports Medicine, Fortis Mohali, Punjab, India.
The Orthopaedic Speciality Clinic, Pune, India.
Indian J Orthop. 2024 Sep 11;58(11):1644-1649. doi: 10.1007/s43465-024-01266-5. eCollection 2024 Nov.
Graft diameters are essential in any ACL surgery, with diameters less than 8mm associated with higher revision rates. Peroneus longus (PL) grafts have garnered much attention recently due to ease of harvest and more reliable graft diameters. The present study aimed to study various anthropometric parameters associated with PL-graft diameters.
We performed a prospective cohort study of 50 patients undergoing PL harvest for ACL surgery at a tertiary referral hospital. Age, gender, height, weight, length of the lower leg (lateral tibial plateau to the tip of the fibula), circumference at the head of the fibula and girth at the lateral malleolus were measured pre-operatively. The length of the graft doubled and tripled graft diameters were assessed intra-operatively. Pearson correlation coefficient was used to study the association between the pre-operative anthropometric variables and the intra-operative graft diameters and length of graft harvested.
The mean doubled and tripled PL-graft diameter in our study population was 7.7 ± 0.9 mm and 8.7 ± 0.8 mm, respectively. The mean length of the graft was 25.9 ± 3.5 cm. We found no significant correlation between graft diameters and age, gender or height of the patient. We found that the patient's weight significantly correlated ( < 0.001) with graft diameter. We also found that the length of the lower leg ( < 0.0001), circumference at the head of the fibula ( = 0.001) and girth at the lateral malleolus ( = 0.029) showed significant correlation with tripled PL-graft diameter.
We found that weight, length of the lower leg and girth at the head of the fibula showed a strong correlation with tripled PL-graft diameter.
在任何前交叉韧带（ACL）手术中，移植物直径都至关重要，直径小于8mm与更高的翻修率相关。由于取材容易且移植物直径更可靠，腓骨长肌（PL）移植物最近备受关注。本研究旨在探讨与PL移植物直径相关的各种人体测量参数。
我们在一家三级转诊医院对50例接受ACL手术并取PL移植物的患者进行了一项前瞻性队列研究。术前测量患者的年龄、性别、身高、体重、小腿长度（外侧胫骨平台至腓骨尖端）、腓骨头周长和外踝周长。术中评估移植物长度加倍和三倍后的直径。采用Pearson相关系数研究术前人体测量变量与术中移植物直径及所取移植物长度之间的关联。
在我们的研究人群中，PL移植物直径加倍和三倍后的平均值分别为7.7±0.9mm和8.7±0.8mm。移植物的平均长度为25.9±3.5cm。我们发现移植物直径与患者的年龄、性别或身高之间无显著相关性。我们发现患者体重与移植物直径显著相关（<0.001）。我们还发现小腿长度（<0.0001）、腓骨头周长（=0.001）和外踝周长（=0.029）与PL移植物直径三倍显著相关。
我们发现体重、小腿长度和腓骨头周长与PL移植物直径三倍密切相关。
