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Endoscopic-Assisted Hamstring Tendon Harvesting
Efficient hamstring tendon harvesting is a crucial part of anterior cruciate ligament reconstruction surgery using autografts. Harvesting of the gracilis and semitendinosus tendons is usually performed using an open approach, exposing the distal tibial attachment of the tendons at the pes anserinus...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9939594/ https://www.ncbi.nlm.nih.gov/pubmed/36814972 http://dx.doi.org/10.1016/j.eats.2022.08.059 |
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author | Yiannakopoulos, Christos K. Sachinis, Nikolaos-Platon Habipis, Apostolos |
author_facet | Yiannakopoulos, Christos K. Sachinis, Nikolaos-Platon Habipis, Apostolos |
author_sort | Yiannakopoulos, Christos K. |
collection | PubMed |
description | Efficient hamstring tendon harvesting is a crucial part of anterior cruciate ligament reconstruction surgery using autografts. Harvesting of the gracilis and semitendinosus tendons is usually performed using an open approach, exposing the distal tibial attachment of the tendons at the pes anserinus and proceeding using a tendon stripper without direct tendon visualization. The success of the anterior cruciate ligament reconstruction surgery strongly depends, among other factors, on the preservation of the hamstring tendon length and integrity. Inadequate tendon release from their attachments and improper use of the tendon stripper, in addition to poor intraoperative visibility, may lead to premature tendon amputation, endangering the success of the operation. We describe an endoscopic-assisted technique of hamstring tendon harvesting that provides complete visualization of the tendons from the tibia attachment to the musculotendinous junction. The procurement of the tendons is completed under direct vision using any tendon stripper. This surgical technique offers a way to minimize complications that may arise during the standard open tendon harvesting techniques without additional visualization. |
format | Online Article Text |
id | pubmed-9939594 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-99395942023-02-21 Endoscopic-Assisted Hamstring Tendon Harvesting Yiannakopoulos, Christos K. Sachinis, Nikolaos-Platon Habipis, Apostolos Arthrosc Tech Technical Note Efficient hamstring tendon harvesting is a crucial part of anterior cruciate ligament reconstruction surgery using autografts. Harvesting of the gracilis and semitendinosus tendons is usually performed using an open approach, exposing the distal tibial attachment of the tendons at the pes anserinus and proceeding using a tendon stripper without direct tendon visualization. The success of the anterior cruciate ligament reconstruction surgery strongly depends, among other factors, on the preservation of the hamstring tendon length and integrity. Inadequate tendon release from their attachments and improper use of the tendon stripper, in addition to poor intraoperative visibility, may lead to premature tendon amputation, endangering the success of the operation. We describe an endoscopic-assisted technique of hamstring tendon harvesting that provides complete visualization of the tendons from the tibia attachment to the musculotendinous junction. The procurement of the tendons is completed under direct vision using any tendon stripper. This surgical technique offers a way to minimize complications that may arise during the standard open tendon harvesting techniques without additional visualization. Elsevier 2022-12-21 /pmc/articles/PMC9939594/ /pubmed/36814972 http://dx.doi.org/10.1016/j.eats.2022.08.059 Text en © 2022 The Authors https://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 Yiannakopoulos, Christos K. Sachinis, Nikolaos-Platon Habipis, Apostolos Endoscopic-Assisted Hamstring Tendon Harvesting |
title | Endoscopic-Assisted Hamstring Tendon Harvesting |
title_full | Endoscopic-Assisted Hamstring Tendon Harvesting |
title_fullStr | Endoscopic-Assisted Hamstring Tendon Harvesting |
title_full_unstemmed | Endoscopic-Assisted Hamstring Tendon Harvesting |
title_short | Endoscopic-Assisted Hamstring Tendon Harvesting |
title_sort | endoscopic-assisted hamstring tendon harvesting |
topic | Technical Note |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9939594/ https://www.ncbi.nlm.nih.gov/pubmed/36814972 http://dx.doi.org/10.1016/j.eats.2022.08.059 |
work_keys_str_mv | AT yiannakopouloschristosk endoscopicassistedhamstringtendonharvesting AT sachinisnikolaosplaton endoscopicassistedhamstringtendonharvesting AT habipisapostolos endoscopicassistedhamstringtendonharvesting |