TY - JOUR
T1 - Five-strand hamstring autograft for anterior cruciate ligament reconstruction
AU - Lavery, Kyle P.
AU - Rasmussen, Jeffrey F.
AU - Dhawan, Aman
N1 - Publisher Copyright:
© 2014 Arthroscopy Association of North America.
PY - 2014/8/1
Y1 - 2014/8/1
N2 - Four-strand hamstring autograft is a common choice for anterior cruciate ligament reconstruction. A potential disadvantage of hamstring autograft for anterior cruciate ligament reconstruction is the inherent variability in graft diameter. Multiple studies have shown increased revision rates when using an undersized hamstring graft. Using an EndoButton (Smith & Nephew, Andover, MA) for femoral tunnel fixation, we convert a standard quadrupled hamstring graft into a 5-strand graft by creating 3 equal strands of the typically larger semitendinosus combined with a double-stranded gracilis. This technique may help alleviate some surgeon reluctance to use a hamstring graft by providing an intraoperative "bailout" option for an unexpectedly small tendon. On the basis of current data, increasing the diameter of the graft in these situations may decrease revision rates.
AB - Four-strand hamstring autograft is a common choice for anterior cruciate ligament reconstruction. A potential disadvantage of hamstring autograft for anterior cruciate ligament reconstruction is the inherent variability in graft diameter. Multiple studies have shown increased revision rates when using an undersized hamstring graft. Using an EndoButton (Smith & Nephew, Andover, MA) for femoral tunnel fixation, we convert a standard quadrupled hamstring graft into a 5-strand graft by creating 3 equal strands of the typically larger semitendinosus combined with a double-stranded gracilis. This technique may help alleviate some surgeon reluctance to use a hamstring graft by providing an intraoperative "bailout" option for an unexpectedly small tendon. On the basis of current data, increasing the diameter of the graft in these situations may decrease revision rates.
UR - http://www.scopus.com/inward/record.url?scp=84903175778&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84903175778&partnerID=8YFLogxK
U2 - 10.1016/j.eats.2014.01.013
DO - 10.1016/j.eats.2014.01.013
M3 - Article
AN - SCOPUS:84903175778
SN - 2212-6287
VL - 3
SP - e423-e426
JO - Arthroscopy Techniques
JF - Arthroscopy Techniques
IS - 4
ER -