Five-Strand Hamstring Autograft Anterior Cruciate Ligament Reconstruction

Added: 2026-06-08

[00:00:00]A key elevator is then used to debride all muscle tissue off the tendon. The semitendinosus is secured to the graft preparation board at sutured ends.

[00:00:09]The opposing end of the tendon is then secured to a clamp and tensioned. The tendon is then whip-stitched as previously performed during the graft harvest with the identical suture and color.

[00:00:19]An assistant then holds tension on both ends of a heavy number two non-absorbable suture and each tendon is doubled over the suture.

[00:00:27]The graft diameter is assessed using the sizer block.

[00:00:30]This measured less than 8 mm using a four-strand graft, so we proceeded with a five-strand technique.

[00:00:36]The semitendinosus was then measured at 240 mm, thus enabling to tripling the semitendinosus.

[00:00:43]The free ends of the suture on one tendon passed on either side of the loop and tensioned by the assistant. The gracilis tendon is then doubled over the triple semitendinosus to create a five-strand configuration.