The sizing of hamstring grafts for anterior cruciate reconstruction: intra- and inter-observer reliability

Verfasser / Beitragende:
[Tim Dwyer, Daniel Whelan, Amir Khoshbin, David Wasserstein, Andrew Dold, Jaskarndip Chahal, Aaron Nauth, M. Murnaghan, Darrell Ogilvie-Harris, John Theodoropoulos]
Ort, Verlag, Jahr:
2015
Enthalten in:
Knee Surgery, Sports Traumatology, Arthroscopy, 23/4(2015-04-01), 1197-1200
Format:
Artikel (online)
ID: 605459096
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024 7 0 |a 10.1007/s00167-014-2945-1  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00167-014-2945-1 
245 0 4 |a The sizing of hamstring grafts for anterior cruciate reconstruction: intra- and inter-observer reliability  |h [Elektronische Daten]  |c [Tim Dwyer, Daniel Whelan, Amir Khoshbin, David Wasserstein, Andrew Dold, Jaskarndip Chahal, Aaron Nauth, M. Murnaghan, Darrell Ogilvie-Harris, John Theodoropoulos] 
520 3 |a Purpose: The objective of this study was to establish the intra- and inter-observer reliability of hamstring graft measurement using cylindrical sizing tubes. Methods: Hamstring tendons (gracilis and semitendinosus) were harvested from ten cadavers by a single surgeon and whip stitched together to create ten 4-strand hamstring grafts. Ten sports medicine surgeons and fellows sized each graft independently using either hollow cylindrical sizers or block sizers in 0.5-mm increments—the sizing technique used was applied consistently to each graft. Surgeons moved sequentially from graft to graft and measured each hamstring graft twice. Surgeons were asked to state the measured proximal (femoral) and distal (tibial) diameter of each graft, as well as the diameter of the tibial and femoral tunnels that they would drill if performing an anterior cruciate ligament (ACL) reconstruction using that graft. Reliability was established using intra-class correlation coefficients. Results: Overall, both the inter-observer and intra-observer agreement were >0.9, demonstrating excellent reliability. The inter-observer reliability for drill sizes was also excellent (>0.9). Excellent correlation was seen between cylindrical sizing, and drill sizes (>0.9). Conclusions: Sizing of hamstring grafts by multiple surgeons demonstrated excellent intra-observer and intra-observer reliability, potentially validating clinical studies exploring ACL reconstruction outcomes by hamstring graft diameter when standard techniques are used. Level of evidence: III. 
540 |a Springer-Verlag Berlin Heidelberg, 2014 
690 7 |a Hamstring  |2 nationallicence 
690 7 |a Sizing  |2 nationallicence 
690 7 |a Reliability  |2 nationallicence 
700 1 |a Dwyer  |D Tim  |u University of Toronto Orthopaedic Sports Medicine, Toronto, Canada  |4 aut 
700 1 |a Whelan  |D Daniel  |u University of Toronto Orthopaedic Sports Medicine, Toronto, Canada  |4 aut 
700 1 |a Khoshbin  |D Amir  |u University of Toronto, Toronto, Canada  |4 aut 
700 1 |a Wasserstein  |D David  |u University of Toronto Orthopaedic Sports Medicine, Toronto, Canada  |4 aut 
700 1 |a Dold  |D Andrew  |u University of Toronto, Toronto, Canada  |4 aut 
700 1 |a Chahal  |D Jaskarndip  |u University of Toronto Orthopaedic Sports Medicine, Toronto, Canada  |4 aut 
700 1 |a Nauth  |D Aaron  |u University of Toronto Orthopaedic Sports Medicine, Toronto, Canada  |4 aut 
700 1 |a Murnaghan  |D M.  |u University of Toronto Orthopaedic Sports Medicine, Toronto, Canada  |4 aut 
700 1 |a Ogilvie-Harris  |D Darrell  |u University of Toronto Orthopaedic Sports Medicine, Toronto, Canada  |4 aut 
700 1 |a Theodoropoulos  |D John  |u University of Toronto Orthopaedic Sports Medicine, Toronto, Canada  |4 aut 
773 0 |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/4(2015-04-01), 1197-1200  |x 0942-2056  |q 23:4<1197  |1 2015  |2 23  |o 167 
856 4 0 |u https://doi.org/10.1007/s00167-014-2945-1  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s00167-014-2945-1  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Dwyer  |D Tim  |u University of Toronto Orthopaedic Sports Medicine, Toronto, Canada  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Whelan  |D Daniel  |u University of Toronto Orthopaedic Sports Medicine, Toronto, Canada  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Khoshbin  |D Amir  |u University of Toronto, Toronto, Canada  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Wasserstein  |D David  |u University of Toronto Orthopaedic Sports Medicine, Toronto, Canada  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Dold  |D Andrew  |u University of Toronto, Toronto, Canada  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Chahal  |D Jaskarndip  |u University of Toronto Orthopaedic Sports Medicine, Toronto, Canada  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Nauth  |D Aaron  |u University of Toronto Orthopaedic Sports Medicine, Toronto, Canada  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Murnaghan  |D M.  |u University of Toronto Orthopaedic Sports Medicine, Toronto, Canada  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Ogilvie-Harris  |D Darrell  |u University of Toronto Orthopaedic Sports Medicine, Toronto, Canada  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Theodoropoulos  |D John  |u University of Toronto Orthopaedic Sports Medicine, Toronto, Canada  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/4(2015-04-01), 1197-1200  |x 0942-2056  |q 23:4<1197  |1 2015  |2 23  |o 167