Albishi W, Baltow B, Albusayes N, Sayed AA, Alrabai HM. Hamstring autograft utilization in reconstructing anterior cruciate ligament: Review of harvesting techniques, graft preparation, and different fixation methods. World J Orthop 2022; 13(10): 876-890 [PMID: 36312526 DOI: 10.5312/wjo.v13.i10.876]
Corresponding Author of This Article
Nora Albusayes, MBBS, Doctor, Staff Physician, Department of Orthopedic Surgery, College of Medicine, King Saud University, 7804 Street No. 18, Riyadh 11362, Saudi Arabia. nalbusayes@gmail.com
Research Domain of This Article
Orthopedics
Article-Type of This Article
Minireviews
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Orthop. Oct 18, 2022; 13(10): 876-890 Published online Oct 18, 2022. doi: 10.5312/wjo.v13.i10.876
Hamstring autograft utilization in reconstructing anterior cruciate ligament: Review of harvesting techniques, graft preparation, and different fixation methods
Waleed Albishi, Baraa Baltow, Nora Albusayes, Ameer A Sayed, Hamza M Alrabai
Waleed Albishi, Nora Albusayes, Hamza M Alrabai, Department of Orthopedic Surgery, College of Medicine, King Saud University, Riyadh 11362, Saudi Arabia
Baraa Baltow, Department of Orthopedic Surgery, AlHada Armed Forces Hospital, Ministry of Defense, AlHada 26792, Saudi Arabia
Ameer A Sayed, Department of Orthopedic Surgery, King Fahad Armed Forces Hospital, Ministry of Defense, Jeddah 23311, Saudi Arabia
Author contributions: Albishi W devised the project, main conceptual ideas, and proof outline; Baltow B, Albusayes N, and Sayed AA retrieved articles from the database and examined for relevance; Albishi W, Albusayes N, and Sayed AA wrote the manuscript in consultation with Baltow B and Arabai HM.
Conflict-of-interest statement: The authors declare no conflicts of interest.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Nora Albusayes, MBBS, Doctor, Staff Physician, Department of Orthopedic Surgery, College of Medicine, King Saud University, 7804 Street No. 18, Riyadh 11362, Saudi Arabia. nalbusayes@gmail.com
Received: May 14, 2022 Peer-review started: May 14, 2022 First decision: June 16, 2022 Revised: July 16, 2022 Accepted: August 15, 2022 Article in press: August 15, 2022 Published online: October 18, 2022
Abstract
Rupture of the anterior cruciate ligament (ACL) is a common orthopedic injury. Various graft options are available for the reconstruction of ruptured ACL. Using the hamstring muscle as an autograft was first described in 1934, and it remains a commonly harvested graft for ACL reconstruction. Hamstring autografts can be harvested using the traditional anteromedial approach or the newer posteromedial technique. An isolated semitendinosus tendon can be used or combined with the gracilis tendon. There are numerous methods for graft fixation, such as intra-tunnel or extra-tunnel fixation. This comprehensive review discusses the different hamstring muscle harvesting techniques and graft preparation options and fixation methods. It provides a comprehensive overview for choosing the optimal surgical technique when treating patients.
Core tip: Anterior cruciate ligament (ACL) rupture is a common orthopedic injury and various graft options are available for the reconstruction of a ruptured ACL. This comprehensive review discusses the different hamstring muscle harvesting techniques as well as graft preparation and fixation methods that can be used to guide clinicians in making evidence-based decisions when treating their patients.
