2021 Annual Meeting Knee Access Pass-My Hamstring Graft Too Small

Video Transcription

Video Summary

The speaker discusses optimizing hamstring autograft size for ACL reconstruction, emphasizing graft diameter over 8mm to reduce failure risk. Traditionally, both gracilis and semitendinosus tendons yield less than 8mm, but newer techniques using just semitendinosus folded and whip-stitched can achieve 8.5mm or more. Combining both tendons can produce grafts 9-11mm. Key surgical tips include precise incision placement, using a closed tendon stripper to avoid graft damage, flexing the leg to prevent nerve injury, and minimizing tunnel length for short grafts. This approach improves graft size and strength, enhancing surgical success and durability.

Asset Caption

Dr. Laith Jazrawi

Keywords

ACL reconstruction

hamstring autograft

graft diameter

semitendinosus tendon

surgical technique