A hamstrings graft is a ligament transplant using one of the hamstrings tendons from the back of the knee.

semitendinosus
Illustration from the back of the knee showing the tendon of the semitendinosus - which is accessible from an incision on the medial side. The tendon of the gracilis is not shown but runs alongside.

 

Tendons involved in a hamstrings ACL graft

Usually the ACL surgeon will create a 4-stranded graft using the semi-tendinosus - often together with another muscle, the gracilis (which is itself not actually a hamstring).

Synonyms: 
pes anserinus graft
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Cruciate ligament reconstruction

A surgeon discussion about whether or not one really needs to reconstruct a torn cruciate ligament.

Graft choice for cruciate ligament reconstruction

There are different options for cruciate ligament reconstruction, both in terms of the procedure and also the graft material.

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CLINICAL PUBLICATIONS

ACL Reconstruction Basics: Quadruple (4-Strand) Hamstring Autograft Harvest. Frank RM, Hamamoto JT, Bernardoni E, Cvetanovich G, Bach BR Jr., Verma NN and Bush-Joseph CA. Arthrosc Tech. 2017 Aug; 6(4): e1309–e1313.


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