Predicting ACL Size in Adolescents
نویسندگان
چکیده
The purpose of this study was to evaluate the predictive value MRI in determining hamstring autograft size preoperatively for pediatric ACL reconstructions. Children and adolescents from 10-20 years old that had undergone reconstruction using were identified 2017-2018. Semitendinosus gracilis cross-sectional area diameter measured on preoperative knee MRIs field interest (FOI) distance measurement tools. slice used as largest section by measuring surgeon. Two surgeons independently all MRIs. Preoperative demographic data (height, weight, body mass index (BMI), gender) operative (graft size) collected. Data analyzed an independent statistician. Ordinal regression analysis performed determine relationship between graft size. A Classification Regression Tree (CART) constructed identify predictors pre-determined sizes 8 mm. Receiver operating characteristics (ROC) then created assess performance model sensitivity specificity. All analyses SPSS v. 24 with alpha set at p<0.05 declare significance. One hundred ten children (54 boys, 56 girls) included average age 15.93 (range 11.81-20.22) BMI 25.98 16.02-40.08). CART determined if sum areas semitendinosus tendons greater than 31.17 mm 87.5% or greater. ROC have 80% 74% specificity predicting a larger. summation predicts intraoperative larger children.
منابع مشابه
Predicting success in ACL reconstruction.
Anterior Cruciate Ligament (ACL) injury and ACL reconstruction is common in the United States. However, when compared to the standards of other orthopedics procedures today, ACL reconstruction is NOT predictably successful in restoring patients to their pre-injury state. Only 60-70% of reconstructed patients resume their previous level of activity and many patients experience some degree of ost...
متن کاملMRI study of the ACL in children and adolescents.
UNLABELLED Reconstruction of the ACL (anterior cruciate ligament) requires precise anatomical placement of the tendon graft. Anatomic variations may increase/decrease risk of the ACL rupture. Twenty-eight children with clinical, MRI and arthroscopic verified ACL ruptures were compared with match case control group. MRI was done one to 12 months after trauma. The thresholds values for identifyin...
متن کاملPredicting the Problem Behavior in Adolescents
Problem statement: Problem behavior theory describes both protective factors and risk factors to explain adolescent problem behaviors, such as delinquency, alcohol use, and reckless driving. The theory holds that problem behaviors involving risky behavior are used by adolescents as a means to gain peer acceptance and respect. Problem behaviors constitute a significant part of gaining independen...
متن کاملACL Revision in Synthetic ACL graft failure
The development of synthetic grafts as an alternative to biological grafts for reconstruction of the anterior cruciate ligament dates from 1980. The interest is awakened due to the potential advantages of: The absence of morbidity associated with donor site, and early return to sport . However, this surgical technique has had multiple complications associated with graft: mechanical failures (sy...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
ژورنال
عنوان ژورنال: Arthroscopy
سال: 2021
ISSN: ['1526-3231', '0749-8063']
DOI: https://doi.org/10.1016/j.arthro.2020.12.142