ACL Technique: Endoscopic Hamstring Graft with Endobutton

Abstract

The hamstring autograft can be used a primary reconstruction for both the acute and chronic patient needing an ACL reconstruction. The hamstring autograft can also be used as a revision reconstruction when a patellar tendon graft has failed from the ipsilateral knee. A potential disadvantage of hamstring tendons is that achieving good initial fixation is challenging and in commonly used lengths, these grafts are structurally less stiff than the ACL. Satisfactory initial strengths can be obtained by using single or double screws and spiked washers, double staple techniques, or other devices. This article reviews the indications and contraindications; principles; and surgical technique for endoscopic hamstring graft with endobutton.

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