Editorial Commentary: Addition of the Sartorius Tendon to Small-Diameter Hamstring Anterior Cruciate Ligament Autografts May Improve Outcomes in Pediatric and Revision Cases.

Paschos, Nikolaos K · Arthroscopy · 2022

editorial · Level V

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Abstract

Graft selection in anterior cruciate ligament reconstruction can have a pivotal role in a successful outcome. One of the major concerns with hamstring autograft is the variability of the diameter of each tendon, and grafts with a diameter of less than 8 mm may result in an increased failure rate. The addition of the sartorius tendon as a fifth strand in small-diameter hamstring autografts increases graft strength and diameter. This may improve outcomes in pediatric and revision cases.

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