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

Gali, Julio Cesar; Del Giglio, David Braz; Patriarcha, Luís Fernando; Cruz, Bruno Azi Pacileo; Gali Filho, Julio Cesar

doi:10.1055/s-0039-1700816

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Revista Brasileira de Ortopedia

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Original Article • Rev. bras. ortop. 55 (1) • Jan-Feb 2020 • https://doi.org/10.1055/s-0039-1700816 copy

Correlation bettween Individual Anthropometric Characteristics and Anterior Cruciate Ligament Tibial Fovea Measurements^* * The present study was conducted at the Department of Orthopedics, Faculty of Medical and Health Sciences of the Pontifícia Universidade Católica de São Paulo, Sorocaba, SP, Brazil.

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Objective

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.

Methods

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.

Results

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 mm². 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: $width = 107.294 - (133.179 \times height) + (44.009 \times squared height)$ .

Conclusion

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.

Keywords
tibia; anterior cruciate ligament; anatomy

	Levene^* * Grouping variable: Gender.			Shapiro-Wilk
	Statistic	DF	Sig.	Statistic	DF	Sig.
Age	0.686	31	0.414	0.957	33	0.208
Weight	0.173	31	0.68	0.973	33	0.554
Height	2.337	31	0.136	0.928	33	0.030
Width	0.929	31	0.343	0.850	33	0.000
Length	0.437	31	0.514	0.977	33	0.680
Area	1.967	31	0.171	0.831	33	0.000

PATIENT	AGE	GENDER	WEIGHT	HEIGHT	SIDE	WIDTH	LENGTH	AREA
			Kg	m		mm	mm	mm²
1	69	F	51	1.48	R	5.96	10.27	50.4
2	72	M	73	1.62	L	6.29	10.10	52.8
3	60	M	79	1.65	L	7.55	14.27	78.9
4	67	F	80	1.58	R	7.03	12.16	61.8
5	66	F	77	1.53	L	7.92	11.92	67.1
6	72	M	108	1.64	L	6.48	9.70	49.4
7	75	F	80	1.50	R	5.09	9.56	35.8
8	68	F	85	1.57	R	6.76	9.52	49.2
9	81	M	70	1.70	R	7.22	10.97	52.3
10	79	F	69	1.50	L	6.99	11.38	51.2
11	81	M	70	1.70	L	6.11	9.44	51.3
12	62	F	77	1.56	L	7.87	14.62	88.2
13	62	M	76	1.78	R	8.75	15.86	90.8
14	58	F	72	1.50	R	6.96	10.13	47.7
15	74	M	81	1.60	R	8.33	12.98	76.6
16	64	M	71	1.62	R	7.52	11.68	68.0
17	70	F	94	1.58	L	7.60	12.65	70.4
18	83	F	89	1.55	L	7.13	10.85	51.0
19	62	F	84	1.60	R	7.00	10.75	52.9
20	58	M	88	1.64	L	8.46	12.20	66.5
21	72	F	63	1.50	L	5.13	8.62	33.4
22	62	F	62	1.49	R	6.96	13.26	68.9
23	60	M	92	1.64	R	7.32	11.89	61.9
24	68	M	66	1.58	R	8.16	14.10	96.6
25	73	F	60	1.50	L	4.87	10.69	40.0
26	71	M	84	1.58	R	6.56	11.54	56.2
27	65	F	90	1.55	R	4.98	13.11	54.0
28	66	F	73	1.45	L	7.13	11.84	66.0
29	77	M	76	1.64	R	6.23	13.13	60.1
30	64	F	108	1.60	L	7.34	10.00	53.7
31	73	F	77	1.55	R	5.90	8.06	37.3
32	83	F	75	1.53	R	7.74	14.51	84.1
33	79	M	88	1.85	L	12.80	16.69	151.3
MINIMUM	58.00	H 14	51.00	1.45	R 18	4.87	8.06	33.40
MAXIMUM	83.00	M 19	108.00	1.85	L 15	12.80	16.69	151.30
MEAN	69.58		78.42	1.59		7.10	11.77	62.90
STANDARD DEVIATION	7.391001		12.36434	0.086446		1.430719	2.052747789	22.29646111

Reference	Length (mm)	Width (mm)	Ratio L/W	Area (mm²)
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Guenther et al.⁸8 Guenther D, Irarrázaval S, Albers M, et al. Area of the tibial insertion site of the anterior cruciate ligament as a predictor for graft size. Knee Surg Sports Traumatol Arthrosc 2017;25(05): 1576–1582 (2017) ^d d by magnetic resonance. ^ observer 2.	16.7 ± 1.3	10.4 ± 0.9	1.60	136.7 ± 15.4
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Araki et al.¹⁰10 Araki D, Thorhauer E, Tashman S. Three-dimensional isotropic magnetic resonance imaging can provide a reliable estimate of the native anterior cruciate ligament insertion site anatomy. Knee Surg Sports Traumatol Arthrosc 2018;26(05):1311–1318 (2017) ^e e by laser scan.	NE	NE	-	135.2 ± 15.1
Our results ^a a in arthroplasties.	11.7 ± 2.0	7.1 ± 1.4	1.64	151.3 ± 22.29

Sociedade Brasileira de Ortopedia e Traumatologia Al. Lorena, 427 14º andar, 01424-000 São Paulo - SP - Brasil, Tel.: 55 11 2137-5400 - São Paulo - SP - Brazil
E-mail: rbo@sbot.org.br

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[1] Address for correspondence Julio Cesar Gali, PhD, Rua Caracas 418, Sorocaba, SP, 18046-718, Brasil (e-mail: juliogali@note.med.br).