A hamstring graft is a prepared ligament graft employing a harvested hamstring tendon.

hamstrings graft being quadrupledAn instrument called a tendon stripper strips out the semitendinosis tendon.
hamstrings graftThe semitendinosus is folded and sutured to form a quadrupled graft of an appropriate width and length.


Quadrupled semitendinosus

To create a graft suitable for anterior cruciate ligament reconstruction, the semitendinosus can be harvested and quadrupled, with the segments being sewn together to make a strong construct.


Graft options in revision ACL

ACL reconstruction failure and revisions - Part 7 - by Dr Frank Noyes.



Graft selection in anterior cruciate ligament reconstruction.. West RV and Harner CD. J Am Acad Orthop Surg. 2005 May-Jun;13(3):197-207.

ACL reconstruction with hamstring tendon autograft and accelerated brace-free rehabilitation: a systematic review of clinical outcomes. Janssen RPA, van Melick N, van Mourik JBA, Reijman M and van Rhijn LW. BMJ Open Sport Exerc Med. 2018; 4(1): e000301.

Hamstring Graft Preparation Techniques for Anterior Cruciate Ligament Reconstruction. Vinagre G, Kennedy NI, Chahla J, Cinque ME, Hussain ZB, Olesen ML and LaPrade RF. Arthrosc Tech. 2017 Dec; 6(6): e2079–e2084..

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