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

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).

pes anserinus graft

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.



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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