Editorial Commentary: Addition of the Sartorius Tendon to Small-Diameter Hamstring Anterior Cruciate Ligament Autografts May Improve Outcomes in Pediatric and Revision Cases.

Graft selection in anterior cruciate ligament reconstruction can have a pivotal role in a successful outcome. One of the major concerns with hamstring autograft is the variability of the diameter of each tendon, and grafts with a diameter of less than 8 mm may result in an increased failure rate. The addition of the sartorius tendon as a fifth strand in small-diameter hamstring autografts increases graft strength and diameter. This may improve outcomes in pediatric and revision cases.