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Published on: April 30, 2014
Hamstring autograft utilization in reconstructing anterior cruciate ligament: Review of harvesting techniques, graft
Waleed Albishi1, Baraa Baltow2, Nora Albusayes3
1Department of Orthopedic Surgery, College of Medicine, King Saud University, Riyadh 11362, Saudi Arabia.
Abstract:
Rupture of the anterior cruciate ligament (ACL) is a common orthopedic injury. Various graft options are available for the reconstruction of ruptured ACL. Using the hamstring muscle as an autograft was first described in 1934, and it remains a commonly harvested graft for ACL reconstruction. Hamstring autografts can be harvested using the traditional anteromedial approach or the newer posteromedial technique. An isolated semitendinosus tendon can be used or combined with the gracilis tendon. There are numerous methods for graft fixation, such as intra-tunnel or extra-tunnel fixation. This comprehensive review discusses the different hamstring muscle harvesting techniques and graft preparation options and fixation methods. It provides a comprehensive overview for choosing the optimal surgical technique when treating patients.
