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Harvesting of Peroneus Longus Tendon Autograft
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ACL Reconstruction Basics: Quadruple (4-Strand) Hamstring Autograft Harvest
Rachel M Frank1, Jason T Hamamoto1, Eamon Bernardoni1
1CU Sports Medicine, Department of Orthopedics, University of Colorado School of Medicine, Boulder, Colorado, U.S.A.
Arthroscopy Techniques
|January 23, 2018
Summary
This technical note details hamstring tendon autograft harvest for anterior cruciate ligament (ACL) reconstruction. It focuses on a quadruple hamstring graft technique using gracilis and semitendinosus tendons for enhanced biomechanical strength.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Biomedical Engineering
Background:
- Hamstring tendon autografts are a common choice for anterior cruciate ligament (ACL) reconstruction.
- Advantages include reduced postoperative pain and simpler recovery compared to bone patellar tendon bone grafts.
- Quadruple hamstring grafts offer significant biomechanical strength.
Purpose of the Study:
- To describe a precise technique for harvesting hamstring autografts for ACL reconstruction.
- To detail the use of gracilis and semitendinosus tendons for a quadruple (4-strand) graft.
- To emphasize critical steps for avoiding iatrogenic neurovascular damage and graft injury.
Main Methods:
- Description of a specific surgical technique for hamstring autograft harvest.
- Utilizing both gracilis and semitendinosus tendons for graft preparation.
- Emphasis on meticulous technique during tendon stripper use.
Main Results:
- A reproducible method for obtaining a quadruple hamstring autograft is presented.
- The technique aims to minimize risks associated with graft harvest.
- Highlights the biomechanical advantages of the quadruple hamstring graft.
Conclusions:
- The described technique provides a reliable method for hamstring autograft harvest for ACL reconstruction.
- Attention to surgical detail is crucial for optimal graft integrity and patient safety.
- This approach facilitates the creation of a strong, quadruple hamstring graft for anterior cruciate ligament repair.
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