Technique for Creating a Bone-Hamstring Tendon-Bone Graft for Anterior Cruciate Ligament Reconstruction

Hamstring tendon autograft are commonly used in anterior cruciate ligament reconstruction; however, they are classified as soft-tissue grafts, which exhibit slower graft-bone integration compared with bone-patellar tendon-bone grafts. To address this, we describe a technique to incorporate a bone block at the tibial end of the hamstring tendon graft, with the aim of enhancing graft integration and minimizing tunnel widening.