Cargando…

ACL Reconstruction Basics: Quadruple (4-Strand) Hamstring Autograft Harvest

Hamstring tendon autograft remains a popular graft choice for anterior cruciate ligament (ACL) reconstruction. Although there are a variety of autograft and allograft options available for ACL reconstruction, advantages of hamstring tendon autografts include decreased postoperative knee pain and an...

Descripción completa

Detalles Bibliográficos
Autores principales: Frank, Rachel M., Hamamoto, Jason T., Bernardoni, Eamon, Cvetanovich, Gregory, Bach, Bernard R., Verma, Nikhil N., Bush-Joseph, Charles A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5622412/
https://www.ncbi.nlm.nih.gov/pubmed/29354434
http://dx.doi.org/10.1016/j.eats.2017.05.024
_version_ 1783267901800710144
author Frank, Rachel M.
Hamamoto, Jason T.
Bernardoni, Eamon
Cvetanovich, Gregory
Bach, Bernard R.
Verma, Nikhil N.
Bush-Joseph, Charles A.
author_facet Frank, Rachel M.
Hamamoto, Jason T.
Bernardoni, Eamon
Cvetanovich, Gregory
Bach, Bernard R.
Verma, Nikhil N.
Bush-Joseph, Charles A.
author_sort Frank, Rachel M.
collection PubMed
description Hamstring tendon autograft remains a popular graft choice for anterior cruciate ligament (ACL) reconstruction. Although there are a variety of autograft and allograft options available for ACL reconstruction, advantages of hamstring tendon autografts include decreased postoperative knee pain and an overall easier surgical recovery compared with bone patellar tendon bone autograft. In addition, 4-stranded (quadruple) hamstring grafts are among the strongest grafts biomechanically (at time equals zero). Although the technique of hamstring autograft harvest is relatively straightforward, it is critical to pay attention to several technical steps to avoid iatrogenic neurovascular damage as well as to avoid premature amputation of the graft while using a tendon stripper. In this Technical Note, we describe a technique of hamstring autograft harvest for ACL reconstruction for a quadruple (4-strand) hamstring graft using the gracilis and semitendinosus tendons.
format Online
Article
Text
id pubmed-5622412
institution National Center for Biotechnology Information
language English
publishDate 2017
publisher Elsevier
record_format MEDLINE/PubMed
spelling pubmed-56224122018-01-19 ACL Reconstruction Basics: Quadruple (4-Strand) Hamstring Autograft Harvest Frank, Rachel M. Hamamoto, Jason T. Bernardoni, Eamon Cvetanovich, Gregory Bach, Bernard R. Verma, Nikhil N. Bush-Joseph, Charles A. Arthrosc Tech Technical Note Hamstring tendon autograft remains a popular graft choice for anterior cruciate ligament (ACL) reconstruction. Although there are a variety of autograft and allograft options available for ACL reconstruction, advantages of hamstring tendon autografts include decreased postoperative knee pain and an overall easier surgical recovery compared with bone patellar tendon bone autograft. In addition, 4-stranded (quadruple) hamstring grafts are among the strongest grafts biomechanically (at time equals zero). Although the technique of hamstring autograft harvest is relatively straightforward, it is critical to pay attention to several technical steps to avoid iatrogenic neurovascular damage as well as to avoid premature amputation of the graft while using a tendon stripper. In this Technical Note, we describe a technique of hamstring autograft harvest for ACL reconstruction for a quadruple (4-strand) hamstring graft using the gracilis and semitendinosus tendons. Elsevier 2017-08-14 /pmc/articles/PMC5622412/ /pubmed/29354434 http://dx.doi.org/10.1016/j.eats.2017.05.024 Text en © 2017 by the Arthroscopy Association of North America. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Technical Note
Frank, Rachel M.
Hamamoto, Jason T.
Bernardoni, Eamon
Cvetanovich, Gregory
Bach, Bernard R.
Verma, Nikhil N.
Bush-Joseph, Charles A.
ACL Reconstruction Basics: Quadruple (4-Strand) Hamstring Autograft Harvest
title ACL Reconstruction Basics: Quadruple (4-Strand) Hamstring Autograft Harvest
title_full ACL Reconstruction Basics: Quadruple (4-Strand) Hamstring Autograft Harvest
title_fullStr ACL Reconstruction Basics: Quadruple (4-Strand) Hamstring Autograft Harvest
title_full_unstemmed ACL Reconstruction Basics: Quadruple (4-Strand) Hamstring Autograft Harvest
title_short ACL Reconstruction Basics: Quadruple (4-Strand) Hamstring Autograft Harvest
title_sort acl reconstruction basics: quadruple (4-strand) hamstring autograft harvest
topic Technical Note
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5622412/
https://www.ncbi.nlm.nih.gov/pubmed/29354434
http://dx.doi.org/10.1016/j.eats.2017.05.024
work_keys_str_mv AT frankrachelm aclreconstructionbasicsquadruple4strandhamstringautograftharvest
AT hamamotojasont aclreconstructionbasicsquadruple4strandhamstringautograftharvest
AT bernardonieamon aclreconstructionbasicsquadruple4strandhamstringautograftharvest
AT cvetanovichgregory aclreconstructionbasicsquadruple4strandhamstringautograftharvest
AT bachbernardr aclreconstructionbasicsquadruple4strandhamstringautograftharvest
AT vermanikhiln aclreconstructionbasicsquadruple4strandhamstringautograftharvest
AT bushjosephcharlesa aclreconstructionbasicsquadruple4strandhamstringautograftharvest