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Current Issue - July 2010, Volume 4, Issue No. 2

Official Journal of Malaysian Orthopaedic Association and ASEAN Orthopaedic Association

Can We Predict ACL Hamstring Graft Sizes in the Asian Male? A Clinical Relationship Study of Anthropometric Features and 4-Strand Hamstring Graft Sizes


Introduction: This study was undertaken to investigate if such anthropometric measurements (i.e., height, weight and body mass index) can be used to predict graft diameters in 4 strand semitendinosus and gracilis hamstring autografts. Methods: The study sample consisted of 89 consecutive male patients who underwent ACL reconstruction using quadrupled semitendinosus and gracilis autografts. Intraoperative measurements of the fashioned quadrupled hamstring graft were performed using sizing tubes calibrated to 0.5mm. Correlation coefficients (Pearson r) analysis was used to determine the relationship between hamstring graft diameter and predictor variables: gender, height, mass, and body mass index. Results: The mean hamstring graft diameter, 7.90mm, was comparable with previously published studies. Weight (r=0.18) and body mass index (r=0.19) correlated positively with graft diameter. There was no correlation between graft diameter and height (r=0.01). Conclusion: In Asian male patients, height, weight and BMI cannot be used for preoperative identification of graft size.

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The Malaysian Orthopaedic Journal is a peer-reviewed journal that is published three times a year in both print and electronic online version. The purpose of this journal is to publish original research studies, evaluation of current practices and case reports in various subspecialties of orthopaedics and traumatology, as well as associated fields like basic science, biomedical engineering, rehabilitation medicine and nursing.

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