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Updated: Jul 29, 2026
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Surgical Retrieval, Isolation and In vitro Expansion of Human Anterior Cruciate Ligament-derived Cells for Tissue Engineering Applications
Published on: April 30, 2014
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Four-Strand Hamstring Braid Graft for Anterior Cruciate Ligament Reconstruction
Diego Ariel de Lima1, Gustavo Vinagre2, Gonzalo Samitier3
1UFERSA, Universidade Federal Rural do Semi-Árido, Mossoró, Brazil.
Arthroscopy Techniques
|August 18, 2025
Summary
Graft failure in anterior cruciate ligament reconstruction is reduced with the Brazilian Braid technique. This 4-strand hamstring braid graft ensures adequate diameter, improving patient outcomes and minimizing revision surgery risks.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Biomedical Engineering
Background:
- Graft failure significantly impacts anterior cruciate ligament (ACL) reconstruction outcomes.
- Hamstring grafts smaller than 8 mm in diameter are linked to a nearly 7-fold increased risk of ACL graft failure.
- Achieving optimal graft diameter and length is critical for successful ACL reconstruction, tailored to patient anatomy and demands.
Purpose of the Study:
- To introduce and describe the Brazilian Braid technique for hamstring graft preparation in ACL reconstruction.
- To provide a viable solution for achieving larger graft diameters when needed.
- To highlight the importance of mastering graft preparation for optimal surgical results.
Main Methods:
- The study details a novel 4-strand hamstring braid graft configuration, termed the Brazilian Braid.
- Emphasis is placed on the technique's ease of preparation and reproducibility.
- The method aims to ensure a graft diameter suitable for individual patient needs.
Main Results:
- The Brazilian Braid technique offers a reliable method for preparing hamstring grafts.
- This technique facilitates the creation of larger diameter grafts, addressing a key factor in graft failure.
- The preparation is described as straightforward and reproducible for surgeons.
Conclusions:
- The Brazilian Braid is a dependable and easily prepared 4-strand hamstring graft technique for ACL reconstruction.
- This method helps mitigate the risk of graft failure associated with smaller diameter grafts.
- Mastery of graft preparation techniques like the Brazilian Braid is essential for successful ACL reconstruction.
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