Personalizing the Quadriceps Tendon Graft in Anterior Cruciate Ligament Reconstruction: A Novel, Continuous Method to Predict Graft Size Using Preoperative MRI
Zi Qiang Glen Liau, Bryan Khoo, Hubert Tuyishime, Matthew Song Peng Ng, Alexander Shao-Rong Pang, James Hoi Po Hui, Kevin Shea · 2026
Read Personalizing the Quadriceps Tendon Graft in Anterior Cruciate Ligament Reconstruction: A Novel, Continuous Method to Predict Graft Size Using Preoperative MRI by Zi Qiang Glen Liau, Bryan Khoo, Hubert Tuyishime, Matthew Song Peng Ng, Alexander Shao-Rong Pang, James Hoi Po Hui, Kevin Shea (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/pmc-13546423.txt.
Description
Zi Qiang Glen Liau and co-authors (2026) offer surgeons a formula that predicts the size of a knee graft before the first incision. The quadriceps tendon is gaining favor for rebuilding a torn anterior cruciate ligament, but harvesting it can weaken the thigh more than other graft choices, so size planning matters. A graft under ten millimeters risks failure. Until now, prediction from pre-surgery MRI used only rough cutoffs. The authors test a continuous method instead.
Their formula converts the tendon's MRI width into an estimated graft diameter, two times the square root of width over pi. They checked the estimate against the real grafts, within one millimeter counting as accurate, tested the old cutoff approach too, and measured whether two raters using the method agree. A reliable prediction lets the surgical team plan the harvest, or choose a different graft, before the patient is asleep.
Catalog record
| CREATOR | Zi Qiang Glen Liau, Bryan Khoo, Hubert Tuyishime, Matthew Song Peng Ng, Alexander Shao-Rong Pang, James Hoi Po Hui, Kevin Shea |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 29 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |