title: Short medial approach harvesting of hamstring tendons.
abstract: Harvesting the hamstring tendons for anterior cruciate ligament reconstruction is not straightforward to perform or to teach: the incision is small, the work-space is narrow and the surgeon's tactile feedback using the stripper is difficult to explain to juniors. The purpose of this short note is to describe a reliable means of harvesting the semitendinosus, gracilis or both. Patient and tourniquet positioning, instrumentation and landmarks are detailed; then the 6 steps (speed-bump 1, speed-bump 2, bubble, hook, expansions, stripper) are explained.
authors.affiliation: Polyclinique de l'Europe, 33, boulevard de l'Université, 44600 Saint-Nazaire, France. Electronic address: hubertlanternier@wanadoo.fr.
authors.forename: H
authors.initials: H
authors.lastname: Lanternier
authors.affiliation: Polyclinique de l'Europe, 33, boulevard de l'Université, 44600 Saint-Nazaire, France.
authors.forename: J B
authors.initials: JB
authors.lastname: de Cussac
authors.affiliation: Polyclinique de l'Europe, 33, boulevard de l'Université, 44600 Saint-Nazaire, France.
authors.forename: T
authors.initials: T
authors.lastname: Collet
mesh_terms: D059925:Anatomic Landmarks; D059549:Anterior Cruciate Ligament Reconstruction; D006801:Humans; D007866:Leg; D018482:Muscle, Skeletal / Q000637:transplantation*; D056888:Patient Positioning; D013710:Tendons / Q000637:transplantation*; D020858:Tissue and Organ Harvesting / Q000295:instrumentation / Q000379:methods*
keywords: Anterior cruciate ligament; Auto-graft; Gracilis; Hamstrings; Semitendinosus