Cargando…
The Chinese ACL injury population has a higher proportion of small ACL tibial insertion sizes than Western patients
PURPOSE: The study purpose is to characterize the sizes of the anterior cruciate ligament (ACL) insertion site and intercondylar notch in Chinese patients undergoing ACL surgery. The findings will provide a reference for individualized clinical treatment of ACL rupture. METHODS: For this study, 137...
Autores principales: | , , , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2019
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7035219/ https://www.ncbi.nlm.nih.gov/pubmed/31111185 http://dx.doi.org/10.1007/s00167-019-05541-z |
_version_ | 1783500019783958528 |
---|---|
author | Li, Feilong Qin, Leilei Gong, Xuan Huang, Zhenggu Wang, Ting Liu, Ziming Sandiford, Steve Yang, Jianye Zhu, Sizheng Liang, Xi Huang, Wei Hu, Ning |
author_facet | Li, Feilong Qin, Leilei Gong, Xuan Huang, Zhenggu Wang, Ting Liu, Ziming Sandiford, Steve Yang, Jianye Zhu, Sizheng Liang, Xi Huang, Wei Hu, Ning |
author_sort | Li, Feilong |
collection | PubMed |
description | PURPOSE: The study purpose is to characterize the sizes of the anterior cruciate ligament (ACL) insertion site and intercondylar notch in Chinese patients undergoing ACL surgery. The findings will provide a reference for individualized clinical treatment of ACL rupture. METHODS: For this study, 137 patients (102 males, 35 females) with an average age of 30.3 ± 9.5 years (range 14–52 years) undergoing ACL reconstruction were included. The tibial ACL insertion site length and width and the intercondylar notch width were measured on MRI and arthroscopically using a ruler. Descriptive statistics of the patients, the distribution of the measurements and the differences between males and females were calculated. RESULTS: The ACL tibial insertion size and intercondylar notch width in Chinese patients with ACL injuries, as obtained by MRI and intra-operatively, exhibited significant individual variability. The tibial ACL insertion site had a mean length of 13.5 ± 2.1 mm and width of 10.9 ± 1.5 mm as measured on MRI and a mean length of 13.3 ± 2.1 mm and width of 11.0 ± 1.6 mm as measured intra-operatively. The mean intercondylar notch width was 15.2 ± 2.4 mm on MRI and the mean length was 15.0 ± 2.5 mm intra-operatively. The inter-rater reliability between MRI and intra-operative measurements confirmed that the two methods were consistent. In 65.7% of individuals, the ACL tibial insertion length was < 14 mm. CONCLUSION: The distribution of tibial footprint size in Chinese patients is different from that in Western populations. There is a higher proportion of subjects with a tibial footprint size < 14 mm among Chinese patients with ACL injury. Therefore, great care should be taken when treating this population with the double-bundle technique or larger graft options. Level of evidence IV. |
format | Online Article Text |
id | pubmed-7035219 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-70352192020-03-06 The Chinese ACL injury population has a higher proportion of small ACL tibial insertion sizes than Western patients Li, Feilong Qin, Leilei Gong, Xuan Huang, Zhenggu Wang, Ting Liu, Ziming Sandiford, Steve Yang, Jianye Zhu, Sizheng Liang, Xi Huang, Wei Hu, Ning Knee Surg Sports Traumatol Arthrosc Knee PURPOSE: The study purpose is to characterize the sizes of the anterior cruciate ligament (ACL) insertion site and intercondylar notch in Chinese patients undergoing ACL surgery. The findings will provide a reference for individualized clinical treatment of ACL rupture. METHODS: For this study, 137 patients (102 males, 35 females) with an average age of 30.3 ± 9.5 years (range 14–52 years) undergoing ACL reconstruction were included. The tibial ACL insertion site length and width and the intercondylar notch width were measured on MRI and arthroscopically using a ruler. Descriptive statistics of the patients, the distribution of the measurements and the differences between males and females were calculated. RESULTS: The ACL tibial insertion size and intercondylar notch width in Chinese patients with ACL injuries, as obtained by MRI and intra-operatively, exhibited significant individual variability. The tibial ACL insertion site had a mean length of 13.5 ± 2.1 mm and width of 10.9 ± 1.5 mm as measured on MRI and a mean length of 13.3 ± 2.1 mm and width of 11.0 ± 1.6 mm as measured intra-operatively. The mean intercondylar notch width was 15.2 ± 2.4 mm on MRI and the mean length was 15.0 ± 2.5 mm intra-operatively. The inter-rater reliability between MRI and intra-operative measurements confirmed that the two methods were consistent. In 65.7% of individuals, the ACL tibial insertion length was < 14 mm. CONCLUSION: The distribution of tibial footprint size in Chinese patients is different from that in Western populations. There is a higher proportion of subjects with a tibial footprint size < 14 mm among Chinese patients with ACL injury. Therefore, great care should be taken when treating this population with the double-bundle technique or larger graft options. Level of evidence IV. Springer Berlin Heidelberg 2019-05-20 2020 /pmc/articles/PMC7035219/ /pubmed/31111185 http://dx.doi.org/10.1007/s00167-019-05541-z Text en © The Author(s) 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. |
spellingShingle | Knee Li, Feilong Qin, Leilei Gong, Xuan Huang, Zhenggu Wang, Ting Liu, Ziming Sandiford, Steve Yang, Jianye Zhu, Sizheng Liang, Xi Huang, Wei Hu, Ning The Chinese ACL injury population has a higher proportion of small ACL tibial insertion sizes than Western patients |
title | The Chinese ACL injury population has a higher proportion of small ACL tibial insertion sizes than Western patients |
title_full | The Chinese ACL injury population has a higher proportion of small ACL tibial insertion sizes than Western patients |
title_fullStr | The Chinese ACL injury population has a higher proportion of small ACL tibial insertion sizes than Western patients |
title_full_unstemmed | The Chinese ACL injury population has a higher proportion of small ACL tibial insertion sizes than Western patients |
title_short | The Chinese ACL injury population has a higher proportion of small ACL tibial insertion sizes than Western patients |
title_sort | chinese acl injury population has a higher proportion of small acl tibial insertion sizes than western patients |
topic | Knee |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7035219/ https://www.ncbi.nlm.nih.gov/pubmed/31111185 http://dx.doi.org/10.1007/s00167-019-05541-z |
work_keys_str_mv | AT lifeilong thechineseaclinjurypopulationhasahigherproportionofsmallacltibialinsertionsizesthanwesternpatients AT qinleilei thechineseaclinjurypopulationhasahigherproportionofsmallacltibialinsertionsizesthanwesternpatients AT gongxuan thechineseaclinjurypopulationhasahigherproportionofsmallacltibialinsertionsizesthanwesternpatients AT huangzhenggu thechineseaclinjurypopulationhasahigherproportionofsmallacltibialinsertionsizesthanwesternpatients AT wangting thechineseaclinjurypopulationhasahigherproportionofsmallacltibialinsertionsizesthanwesternpatients AT liuziming thechineseaclinjurypopulationhasahigherproportionofsmallacltibialinsertionsizesthanwesternpatients AT sandifordsteve thechineseaclinjurypopulationhasahigherproportionofsmallacltibialinsertionsizesthanwesternpatients AT yangjianye thechineseaclinjurypopulationhasahigherproportionofsmallacltibialinsertionsizesthanwesternpatients AT zhusizheng thechineseaclinjurypopulationhasahigherproportionofsmallacltibialinsertionsizesthanwesternpatients AT liangxi thechineseaclinjurypopulationhasahigherproportionofsmallacltibialinsertionsizesthanwesternpatients AT huangwei thechineseaclinjurypopulationhasahigherproportionofsmallacltibialinsertionsizesthanwesternpatients AT huning thechineseaclinjurypopulationhasahigherproportionofsmallacltibialinsertionsizesthanwesternpatients AT lifeilong chineseaclinjurypopulationhasahigherproportionofsmallacltibialinsertionsizesthanwesternpatients AT qinleilei chineseaclinjurypopulationhasahigherproportionofsmallacltibialinsertionsizesthanwesternpatients AT gongxuan chineseaclinjurypopulationhasahigherproportionofsmallacltibialinsertionsizesthanwesternpatients AT huangzhenggu chineseaclinjurypopulationhasahigherproportionofsmallacltibialinsertionsizesthanwesternpatients AT wangting chineseaclinjurypopulationhasahigherproportionofsmallacltibialinsertionsizesthanwesternpatients AT liuziming chineseaclinjurypopulationhasahigherproportionofsmallacltibialinsertionsizesthanwesternpatients AT sandifordsteve chineseaclinjurypopulationhasahigherproportionofsmallacltibialinsertionsizesthanwesternpatients AT yangjianye chineseaclinjurypopulationhasahigherproportionofsmallacltibialinsertionsizesthanwesternpatients AT zhusizheng chineseaclinjurypopulationhasahigherproportionofsmallacltibialinsertionsizesthanwesternpatients AT liangxi chineseaclinjurypopulationhasahigherproportionofsmallacltibialinsertionsizesthanwesternpatients AT huangwei chineseaclinjurypopulationhasahigherproportionofsmallacltibialinsertionsizesthanwesternpatients AT huning chineseaclinjurypopulationhasahigherproportionofsmallacltibialinsertionsizesthanwesternpatients |