Before + After: ACL Tear + ACL Reconstruction with Hamstring Autograft

When performing an ACL reconstruction with hamstring autograft (using the patients own hamstring tendons), 2 hamstring tendons are used to make up the graft; the semitendinosus and gracilis.  The 2 strands of tendon are sewn together to make one bundle.  Then the bundle is folded onto itself, essentially making a 4-strand graft.  

ACL Graft: Hamstring Autograft

ACL Graft: Hamstring Autograft

Hamstring autograft is the “4WD SUV of grafts” – It is reliable, it is flexible, it is a workhorse that works great for most people with few exceptions (from taking out the groceries all the way to tennis practice to the marathon).  It isn’t too ‘costly’ with respect to pain or arthritis, but high performance individual, elite athletes and folks exposed routinely to contact sports might be looking for a little more.

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