2021 Annual Meeting Knee Access Pass-Debate: The Soft Tissue ACL

Debate: The Soft Tissue ACL - Hamstring Is Battle Tested

Video Transcription

Video Summary

The video discusses different graft options for ACL reconstruction surgery and highlights the benefits of the quadruple semitendinosus (hamstring) graft technique. The speaker emphasizes that not all hamstring grafts are created equal and promotes the graft link technique, which involves using only the semitendinosus tendon and preserving the gracilis. The technique utilizes suspensory fixation on the femur and tibia, allowing for better graft retention and healing. The speaker presents results from a study comparing the quadruple semitendinosus graft to the gold standard bone-patellar tendon-bone (BTB) graft, showing favorable outcomes in terms of stability, anterior knee pain, and re-tear rates. The video also includes studies comparing hamstring and quad tendon grafts, showcasing the durability and comparable outcomes of hamstring grafts. The speaker concludes by recommending the quadruple semitendinosus graft for its reliability, minimal complications, preservation of quad extensor strength, and avoidance of anterior knee pain.

Asset Caption

Dr. Patrick Smith | ACL Graft and Revision

Keywords

graft options

ACL reconstruction surgery

quadruple semitendinosus graft

graft link technique

hamstring grafts