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Four-Strand Hamstring Diamond Braid Technique for Anterior Cruciate Ligament Reconstruction.


ABSTRACT: Several factors affect the success of an anterior cruciate ligament reconstruction, including graft origin, type, and morphology. Hamstring and bone-patellar tendon-bone autografts are the most widely used, and there are many different techniques of graft preparation with each. In this Technical Note and accompanying video, a 4-strand hamstring autograft technique is described that uses a simple diamond-type braid to produce a more ovoid morphology with increased cross-sectional area. Increased graft diameters have been associated with higher success rates and more positive long-term outcomes. Therefore, this braiding construct may provide additional tensile strength with increased resistance to failure than grafts that are otherwise undersized using conventional techniques.

SUBMITTER: Park HY 

PROVIDER: S-EPMC8085571 | biostudies-literature | 2021 Apr

REPOSITORIES: biostudies-literature

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Four-Strand Hamstring Diamond Braid Technique for Anterior Cruciate Ligament Reconstruction.

Park Hee-Yon HY   Gardner Brandon B   Kim Joo Yeon JY   Bryant Stewart S   Chakrabarti Moyukh M   McGahan Patrick P   Chen James L JL  

Arthroscopy techniques 20210322 4


Several factors affect the success of an anterior cruciate ligament reconstruction, including graft origin, type, and morphology. Hamstring and bone-patellar tendon-bone autografts are the most widely used, and there are many different techniques of graft preparation with each. In this Technical Note and accompanying video, a 4-strand hamstring autograft technique is described that uses a simple diamond-type braid to produce a more ovoid morphology with increased cross-sectional area. Increased  ...[more]