Correlation Bettween Individual Anthropometric Characteristics and Anterior Cruciate Ligament Tibial Fovea Measurements

Overview

Journal Rev Bras Ortop (Sao Paulo)

Publisher Thieme

Specialty Orthopedics

Date 2020 Mar 4

PMID 32123451

Citations 2

Authors

Julio Cesar Gali

David Braz Del Giglio

Luis Fernando Patriarcha

Bruno Azi Pacileo Cruz

Julio Cesar Gali Filho

Affiliations

Soon will be listed here.

Abstract

To evaluate possible connections between the weight and height of patients submitted to total knee arthroplasty (TKA), with the length, width and area of the anterior cruciate ligament (ACL) fovea, as verified during surgery. A total of 33 proximal tibial joint surfaces, obtained from TKA tibial sections of 33 patients, were used in the present study. The ACL was resected with a delicate scalpel to expose the ACL tibial fovea. Then the periphery of this fovea was delimited with a marker pen by means of small dots. Each piece was photographed, and the ACL tibial fovea length, width, and area were measured with the ImageJ (National Institutes of Health, Bethesda, MD, USA) software. Statistical analysis studied the correlation between anthropometrics data of the patients and the measurements of the ACL tibial fovea. The ACL tibial fovea length, width, and area were, respectively, 11.7 ± 2.0 mm, 7.1 ± 1.4 mm and 151.3 ± 22.2 mm . There was a statistically significant relationship between the height of the patients and the width of the ACL tibial fovea. The width of the ACL fovea could be predicted by the formula: width = 107.294-(133.179 × height) + (44.009 × squared height). The height of the patients may predict the width of the ACL tibial fovea, and therefore, may allow surgeons to choose the more adequate graft for each patient in ACL reconstruction.

Citing Articles

Can patient anthropometry predict the anterior cruciate ligament footprint dimensions? - An MRI-based observational study on north Indian population.

Gupta K, Choudhury A, Raja B, Chandra A, Azam M, Kalia R J Clin Orthop Trauma. 2024; 49():102341.

PMID: 38323077 PMC: 10838947. DOI: 10.1016/j.jcot.2024.102341.

Patient Height may Predict the Length of the Anterior Cruciate Ligament: A Magnetic Resonance Imaging Study.

Powantia Pontoh L, Rahyussalim A, Fiolin J Arthrosc Sports Med Rehabil. 2021; 3(3):e733-e739.

PMID: 34195639 PMC: 8220625. DOI: 10.1016/j.asmr.2021.01.012.

References

Siebold R, Schuhmacher P, Fernandez F, Smigielski R, Fink C, Brehmer A . Flat midsubstance of the anterior cruciate ligament with tibial "C"-shaped insertion site. Knee Surg Sports Traumatol Arthrosc. 2014; 23(11):3136-42. PMC: 4611027. DOI: 10.1007/s00167-014-3058-6. View

Mullaji A, Marawar S, Simha M, Jindal G . Cruciate ligaments in arthritic knees: a histologic study with radiologic correlation. J Arthroplasty. 2008; 23(4):567-72. DOI: 10.1016/j.arth.2007.05.024. View

Park Y, Song Y, Kim S, Park Y, Ha C . The size of tibial footprint of anterior cruciate ligament and association with physical characteristics in Asian females. Arch Orthop Trauma Surg. 2015; 135(7):985-92. DOI: 10.1007/s00402-015-2229-3. View

Tallay A, Lim M, Bartlett J . Anatomical study of the human anterior cruciate ligament stump's tibial insertion footprint. Knee Surg Sports Traumatol Arthrosc. 2008; 16(8):741-6. DOI: 10.1007/s00167-008-0552-8. View

Kim S, Lee H, Park Y, Jeong H, Ha C . Anterior Cruciate Ligament Tibial Footprint Size as Measured on Magnetic Resonance Imaging: Does It Reliably Predict Actual Size?. Am J Sports Med. 2018; 46(8):1877-1884. DOI: 10.1177/0363546518767874. View

Van Eck C, Lesniak B, Schreiber V, Fu F . Anatomic single- and double-bundle anterior cruciate ligament reconstruction flowchart. Arthroscopy. 2010; 26(2):258-68. DOI: 10.1016/j.arthro.2009.07.027. View

Purnell M, Larson A, Clancy W . Anterior cruciate ligament insertions on the tibia and femur and their relationships to critical bony landmarks using high-resolution volume-rendering computed tomography. Am J Sports Med. 2008; 36(11):2083-90. DOI: 10.1177/0363546508319896. View

Douglas M, Hutchison J, Sutherland A . Anterior cruciate ligament integrity in osteoarthritis of the knee in patients undergoing total knee replacement. J Orthop Traumatol. 2010; 11(3):149-54. PMC: 2948128. DOI: 10.1007/s10195-010-0103-1. View

Morgan C, Kalman V, Grawl D . Definitive landmarks for reproducible tibial tunnel placement in anterior cruciate ligament reconstruction. Arthroscopy. 1995; 11(3):275-88. DOI: 10.1016/0749-8063(95)90003-9. View

10.

Park Y, Ha C, Kim H, Park Y . Preoperative prediction of anterior cruciate ligament tibial footprint size by anthropometric variables. Knee Surg Sports Traumatol Arthrosc. 2016; 25(5):1638-1645. DOI: 10.1007/s00167-016-4164-4. View

11.

Ferretti M, Doca D, Ingham S, Cohen M, Fu F . Bony and soft tissue landmarks of the ACL tibial insertion site: an anatomical study. Knee Surg Sports Traumatol Arthrosc. 2011; 20(1):62-8. DOI: 10.1007/s00167-011-1592-z. View

12.

LaPrade C, Smith S, Rasmussen M, Hamming M, Wijdicks C, Engebretsen L . Consequences of tibial tunnel reaming on the meniscal roots during cruciate ligament reconstruction in a cadaveric model, Part 1: The anterior cruciate ligament. Am J Sports Med. 2014; 43(1):200-6. DOI: 10.1177/0363546514554769. View

13.

Tampere T, Van Hoof T, Cromheecke M, Van der Bracht H, Chahla J, Verdonk P . The anterior cruciate ligament: a study on its bony and soft tissue anatomy using novel 3D CT technology. Knee Surg Sports Traumatol Arthrosc. 2016; 25(1):236-244. DOI: 10.1007/s00167-016-4310-z. View

14.

Kopf S, Pombo M, Szczodry M, Irrgang J, Fu F . Size variability of the human anterior cruciate ligament insertion sites. Am J Sports Med. 2010; 39(1):108-13. DOI: 10.1177/0363546510377399. View

15.

Edwards A, Bull A, Amis A . The attachments of the anteromedial and posterolateral fibre bundles of the anterior cruciate ligament: Part 1: tibial attachment. Knee Surg Sports Traumatol Arthrosc. 2007; 15(12):1414-21. DOI: 10.1007/s00167-007-0417-6. View

16.

Fujimaki Y, Thorhauer E, Sasaki Y, Smolinski P, Tashman S, Fu F . Quantitative In Situ Analysis of the Anterior Cruciate Ligament: Length, Midsubstance Cross-sectional Area, and Insertion Site Areas. Am J Sports Med. 2015; 44(1):118-25. DOI: 10.1177/0363546515611641. View

17.

Tashiro Y, Lucidi G, Gale T, Nagai K, Herbst E, Irrgang J . Anterior cruciate ligament tibial insertion site is elliptical or triangular shaped in healthy young adults: high-resolution 3-T MRI analysis. Knee Surg Sports Traumatol Arthrosc. 2017; 26(2):485-490. DOI: 10.1007/s00167-017-4607-6. View

18.

Guenther D, Irarrazaval S, Nishizawa Y, Vernacchia C, Thorhauer E, Musahl V . Variation in the shape of the tibial insertion site of the anterior cruciate ligament: classification is required. Knee Surg Sports Traumatol Arthrosc. 2015; 25(8):2428-2432. DOI: 10.1007/s00167-015-3891-2. View

19.

Guenther D, Irarrazaval S, Albers M, Vernacchia C, Irrgang J, Musahl V . Area of the tibial insertion site of the anterior cruciate ligament as a predictor for graft size. Knee Surg Sports Traumatol Arthrosc. 2016; 25(5):1576-1582. DOI: 10.1007/s00167-016-4295-7. View

20.

Lee G, Cushner F, Vigoritta V, Scuderi G, Insall J, Scott W . Evaluation of the anterior cruciate ligament integrity and degenerative arthritic patterns in patients undergoing total knee arthroplasty. J Arthroplasty. 2005; 20(1):59-65. DOI: 10.1016/j.arth.2004.10.010. View