Roger V. Larson, MD
When the semitendinosus and gracilis tendons are both doubled and used together, they provide one of the strongest autogenous grafts available for anterior cruciate ligament replacement. In addition to strength, other potential advantages of these grafts include low harvest morbidity, a large surface area for revascularization, ease of tensioning and adaptability to precise positioning.
Dr. Roger V. Larson of Seattle, Washington, has used the technique reviewed in this segment in over 500 cases of ACL reconstruction and finds it particularly applicable to patients who have failed a patellar tendon ACL reconstruction or to those with preexisting patellofemoral disease. The technique has also been extremely effective in avoiding complications, particularly motion problems and patellofemoral pain complaints.
- Steiner ME, Hecker AT, Brown CH, et al. Anterior cruciate ligament graft fixation: Comparison of hamstring and patellar tendon grafts Am J Sports Med 1994;22:240-247
- Rodeo SA, Arnoczky SP, Torzilli PA, et al. Tendon-healing in a bone tunnel: A biomechanical and histological study in the dog J Bone J Surg 1993;75A:1795-1803
- Pagnani MJ, Warner JJP, O'Brien SJ, et al. Anatomic considerations in harvesting the semitendinosus and gracilis tendons and a technique for harvest Am J Sports Med 21:565-571
- Total Run Time: 17:06 minutes
- Catalog Number: 5045
- VJO Publication Date: December, 1995