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The 5-strand hamstring graft in anterior cruciate ligament reconstruction.

ABSTRACT: The use of anterior cruciate ligament reconstruction in the pediatric and adolescent population has been increasing in recent years. Autograft hamstring graft is favored in this population, but these patients often have smaller hamstring tendons that yield smaller final graft constructs. These smaller grafts are associated with an increased need for revision surgery. We describe a technique for obtaining a larger-diameter anterior cruciate ligament graft construct from autologous hamstring graft without allograft supplementation.

SUBMITTER: Lee RJ

PROVIDER: S-EPMC4246395 | biostudies-literature | 2014 Oct

REPOSITORIES: biostudies-literature

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The 5-strand hamstring graft in anterior cruciate ligament reconstruction.

Lee Rushyuan Jay RJ Ganley Theodore J TJ

Arthroscopy techniques 20141020 5

The use of anterior cruciate ligament reconstruction in the pediatric and adolescent population has been increasing in recent years. Autograft hamstring graft is favored in this population, but these patients often have smaller hamstring tendons that yield smaller final graft constructs. These smaller grafts are associated with an increased need for revision surgery. We describe a technique for obtaining a larger-diameter anterior cruciate ligament graft construct from autologous hamstring graft ...[more]

PMID: 25473619

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Five-strand hamstring autograft for anterior cruciate ligament reconstruction.

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Project description:Hamstring autografts are frequently used for anterior cruciate ligament reconstruction. The inherent variability in graft diameter has been stated as a disadvantage in its use because the presence of smaller graft diameters has been correlated with increased risk of re-rupture. Several techniques have been described to address this concern. Modifications of the basic Graftlink technique allows for increased control over final graft diameter using a standard harvest of the semitendinosus tendon with or without the gracilis tendon, and results in a graft of adequate length and diameter in all patients with rigid cortical fixation on the femur and tibia.

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