ArticleVideo journal of sports medicine
Posterior Hamstring Harvest and Preparation for Quadruple Autograft All-Inside Anterior Cruciate Ligament Reconstruction.
Article in Video journal of sports medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Hamstring tendon autografts are the most commonly used grafts for anterior cruciate ligament (ACL) reconstruction and are usually harvested through an anterior approach. This harvest is not without risks of complications, and the tendons can alternatively be harvested through a posterior approach. Indications: Patients undergoing autograft hamstring ACL reconstruction without previous ipsilateral hamstring harvest or distal hamstring injury. Technique Description: The patient is positioned supine, and the leg is elevated. With the knee in flexion, the semitendinosus can be palpated as the most lateral superficial of the medial hamstring tendons. A small incision is then made over the semitendinosus 1 cm proximal to the flexion crease, and the fascia is opened. An open hamstring stripper is then used to harvest the graft proximally with the leg in extension. The graft is then passed through a closed tendon stripper, and the remaining tendon is stripped distally. The graft is then quadrupled on the back table with the sutures on the inside of the graft, and the graft is soaked in a tobramycin-infused saline solution. Results: Compared to anterior hamstring harvest, posterior harvest is associated with a decreased incidence of (infrapatellar branch) saphenous nerve damage (0.4% vs 10.2%), lower risk of premature graft harvest (0% vs 2-9%), shorter operative time (4 to 13 minutes shorter), and higher cosmetic satisfaction (92% vs 80%). Discussion/Conclusion: Posterior hamstring harvest is a safe and reliable technique that is associated with a lower risk of complications compared to anterior hamstring harvest and should be considered for hamstring autograft ACL reconstruction. Patient Consent Disclosure Statement: The author(s) attests that consent has been obtained from any patient(s) appearing in this publication. If the individual may be identifiable, the author(s) has included a statement of release or other written form of approval from the patient(s) with this submission for publication.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.