Four-Strand Hamstring Braid Graft for Anterior Cruciate Ligament Reconstruction.
expert_opinion · Level V
Where this comes from
- Record sourced from PubMed, PMID 40822233.
- Also identified by DOI 10.1016/j.eats.2025.103623 and PMC identifier 12350219.
- Licence recorded as CC BY.
- The licence permits redistribution, so the abstract is shown in full and the full text is available from the publisher.
Abstract
Graft failure is a significant factor contributing to poor outcomes in anterior cruciate ligament reconstruction. A hamstring graft with a diameter of less than 8 mm is associated with nearly a 7-fold increase in the risk of failure. The technique proposed here introduces a hamstring braid graft configuration for anterior cruciate ligament reconstruction, offering a viable solution in cases where a larger graft diameter is needed. Mastering various hamstring graft preparation techniques is crucial to achieve an appropriate graft diameter and length that aligns with the patient's anatomy, height, and physical demands. In summary, the present technique, known as the Brazilian Braid, is a 4-strand hamstring braid graft that represents a reliable, easy-to-prepare, and reproducible graft preparation technique.