Hamstring autograft utilization in reconstructing anterior cruciate ligament: Review of harvesting techniques,graft preparation,and different fixation methods |
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Authors: | Waleed Albishi Baraa Baltow Nora Albusayes Ameer A Sayed Hamza M Alrabai |
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Institution: | Waleed Albishi, Nora Albusayes, Hamza M Alrabai, Department of Orthopedic Surgery, College of Medicine, King Saud University, Riyadh 11362, Saudi ArabiaBaraa Baltow, Department of Orthopedic Surgery, AlHada Armed Forces Hospital, Ministry of Defense, AlHada 26792, Saudi ArabiaAmeer A Sayed, Department of Orthopedic Surgery, King Fahad Armed Forces Hospital, Ministry of Defense, Jeddah 23311, Saudi Arabia |
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Abstract: | Rupture of the anterior cruciate ligament (ACL) is a common orthopedic injury. Various graft options are available for the reconstruction of ruptured ACL. Using the hamstring muscle as an autograft was first described in 1934, and it remains a commonly harvested graft for ACL reconstruction. Hamstring autografts can be harvested using the traditional anteromedial approach or the newer posteromedial technique. An isolated semitendinosus tendon can be used or combined with the gracilis tendon. There are numerous methods for graft fixation, such as intra-tunnel or extra-tunnel fixation. This comprehensive review discusses the different hamstring muscle harvesting techniques and graft preparation options and fixation methods. It provides a comprehensive overview for choosing the optimal surgical technique when treating patients. |
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Keywords: | Anterior cruciate ligament Anterior cruciate ligament reconstruction Graft fixation Hamstring autograft Infrapatellar nerve injury Patient reported outcomes |
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