Frank Rachel M, Hamamoto Jason T, Bernardoni Eamon, Cvetanovich Gregory, Bach Bernard R, Verma Nikhil N, Bush-Joseph Charles A
CU Sports Medicine, Department of Orthopedics, University of Colorado School of Medicine, Boulder, Colorado, U.S.A.
Arthrosc Tech. 2017 Aug 14;6(4):e1309-e1313. doi: 10.1016/j.eats.2017.05.024. eCollection 2017 Aug.
Hamstring tendon autograft remains a popular graft choice for anterior cruciate ligament (ACL) reconstruction. Although there are a variety of autograft and allograft options available for ACL reconstruction, advantages of hamstring tendon autografts include decreased postoperative knee pain and an overall easier surgical recovery compared with bone patellar tendon bone autograft. In addition, 4-stranded (quadruple) hamstring grafts are among the strongest grafts biomechanically (at time equals zero). Although the technique of hamstring autograft harvest is relatively straightforward, it is critical to pay attention to several technical steps to avoid iatrogenic neurovascular damage as well as to avoid premature amputation of the graft while using a tendon stripper. In this Technical Note, we describe a technique of hamstring autograft harvest for ACL reconstruction for a quadruple (4-strand) hamstring graft using the gracilis and semitendinosus tendons.
腘绳肌腱自体移植仍是前交叉韧带（ACL）重建中常用的移植物选择。尽管ACL重建有多种自体移植和异体移植选择，但与髌腱骨自体移植相比，腘绳肌腱自体移植的优势包括术后膝关节疼痛减轻以及手术总体恢复更容易。此外，4股（四股）腘绳肌腱移植物在生物力学上（在时间为零时）是最强的移植物之一。虽然腘绳肌腱自体移植的技术相对简单，但注意几个技术步骤以避免医源性神经血管损伤以及在使用肌腱剥离器时避免过早切断移植物至关重要。在本技术说明中，我们描述了一种使用股薄肌和半腱肌肌腱获取四股（4股）腘绳肌腱移植物用于ACL重建的技术。
