A Bone-Hamstring Autograft for Arthroscopic Anterior Cruciate Ligament Reconstruction.

Zhou, Ri; Ren, Shiyou; Wu, Jiangyi; Li, Canfeng; Xie, Xiaoxiao; You, Tian; Chen, Peng; Zuo, Jianwei et al. · Arthrosc Tech · 2021

expert_opinion · Level V

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Abstract

We describe a bone-hamstring autograft for anterior cruciate ligament reconstruction (ACLR). The semitendinosus and gracilis tendons are harvested using an open tendon stripper, keeping these distal tibial insertions intact. The bone-hamstring autograft is harvested using an oscillating saw. This modified autograft has the following advantages: (1) It possesses the potential for healing with the femur owing to its bone plug; (2) it is perfectly suited for various single-bundle reconstruction methods including oval-tunnel and rectangular-tunnel ACLR, as well as other flat ACLR methods; and (3) it is an attractive option for both primary ACLR and revision ACLR owing to its unique characteristics.