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Chap. 15 Video 8: Technique for Harvesting Hamstring Tendons for ACL Reconstruction

February 05, 2016

Contributors: Stephen M Howell, MD

This video demonstrates a technique for harvesting hamstring tendons for ACL reconstruction for a 28 year old male soccer player. The incision is made and a right angle clamp is placed over the gracilis, and its tendon and that of the semitendinosus are identified. Both are retracted with a Penrose drain, stripped with a blunt open ended tendon stripper, and remaining muscle is removed. The tendons are combined, doubled over, and the ends have sutures placed. The choice of allograft vs autograft is discussed. The graft is sized and submerged in a saline bath while still inside an 8mm sizing sleeve to prevent drying out.

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