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Intraoperative assessment of the adequacy of the graft length for semitendinosus-alone anterior cruciate ligament reconstruction: a technical note
Arthrosc Orthop Sports Med 2017;4:90-93
Published online July 1, 2017;
© 2017 Korean Arthroscopy Society and Korean Orthopedic Society for Sports Medicine.

Kaustubh Ahuja, Hira Lal Nag

Department of Orthopedics, All India Institute of Medical Sciences (AIIMS), New Delhi, India
Correspondence to: Kaustubh Ahuja,
Department of Orthopedics, All India Institute of Medical Sciences (AIIMS), AnsariNagar, New Delhi 110029, India.
Tel: +91-9654378073, Fax: +91-11-26588663, E-mail:
Received April 2, 2017; Revised May 25, 2017; Accepted May 25, 2017.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Anterior cruciate ligament (ACL) reconstruction surgery rate has widely increased over past few years. Various graft options have been described in literature for reconstruction of ACL. Patellar tendon, semitendinosus alone, semitendinosus with gracilis are commonly used as graft materials. A number of recent studies suggest sacrifice of gracilis tendon for ACL reconstruction adversely affects hamstring strength. Many studies done in this regard have suggested the use of preoperative anthropometric data for estimating the adequacy of semitendinosus tendon alone being used in ACL reconstruction procedures. However there are no studies describing intraoperative assessment of the adequacy of graft length for semitendinosus alone graft for ACL reconstruction. In this note we describe a technique for intraoperative assessment of the adequacy of graft length of semitendinosus tendon for quadrupled semitendinosus alone graft or the need for harvesting gracilis along with semitendinosus tendon.
Keywords : Arthroscopy; Anterior cruciate ligament reconstruction
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January 2018, 5 (1)