"Cigar Wrap" technique for gracilis augmentation in hamstring anterior cruciate ligament reconstruction.
The use of Hamstring grafts for anterior cruciate ligament reconstruction is becoming increasingly popular. Most surgeons use a four-stranded graft consisting of double-stranded semitendinosus and gracilis tendons. The gracilis tendon, in addition to being smaller in diameter, is often shorter and more diminutive at its muscular end. We developed a technique for supplementing this tendon using excess semitendinosus tendon. This allows enhanced tibial tunnel fit and improved graft fixation.
Miller
M D
MD
Wilford Hall United States Air Force Medical Center, Lackland AFB, San Antonio, Texas, USA.
Gossum
R S
RS
D016118:Anterior Cruciate Ligament / Q000601:surgery*; D000070598:Anterior Cruciate Ligament Injuries; D006801:Humans; D007718:Knee Injuries / Q000601:surgery*; D019637:Orthopedic Procedures; D012421:Rupture; D013710:Tendons / Q000637:transplantation*; D013848:Thigh