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Endoscopic-Assisted Hamstring Tendon Harvesting.

Christos K Yiannakopoulos1,2, Nikolaos-Platon Sachinis1, Apostolos Habipis1

  • 1Orthopaedic Department for Arthroscopic and Shoulder Surgery, IASO Hospital, Athens, Greece.

Arthroscopy Techniques
|February 23, 2023
PubMed
Summary

This study introduces an endoscopic-assisted technique for hamstring tendon harvesting in anterior cruciate ligament reconstruction. This method enhances visualization, minimizing complications and preserving tendon integrity for successful surgery.

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Surgical Innovation

Background:

  • Hamstring tendon autografts are vital for anterior cruciate ligament (ACL) reconstruction.
  • Current open harvesting methods lack direct visualization, risking tendon damage and surgical failure.

Purpose of the Study:

  • To describe an endoscopic-assisted technique for hamstring tendon harvesting.
  • To improve visualization and minimize complications during ACL reconstruction graft procurement.

Main Methods:

  • An endoscopic-assisted approach was developed for harvesting gracilis and semitendinosus tendons.
  • Direct visualization of tendons from tibial attachment to musculotendinous junction was achieved.
  • Tendon stripping was performed under direct vision.

Main Results:

  • The technique provides complete visualization of the hamstring tendons during harvesting.
  • It allows for procurement under direct vision, reducing risks associated with standard open methods.
  • Minimizes complications like premature tendon amputation.

Conclusions:

  • Endoscopic-assisted hamstring tendon harvesting enhances safety and efficacy in ACL reconstruction.
  • This technique offers improved intraoperative visibility, preserving tendon length and integrity.
  • It presents a viable alternative to traditional open harvesting methods.