Hamstring Graft Preparation Using a Modified Rolling Hitch Technique

Abstract Anterior cruciate ligament reconstruction using double-looped hamstring autograft is a common procedure in orthopaedic practice. However, during placement of the running, locking stitches at each end of the harvested tendons, the surgeon may face several potential obstacles, including the r...

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Published inArthroscopy techniques (Amsterdam) Vol. 3; no. 3; pp. e321 - e324
Main Authors Hong, Chih-Kai, M.D, Chang, Chih-Hsun, M.D, Chiang, Chen-Hao, M.D, Jou, I-Ming, M.D., Ph.D, Su, Wei-Ren, M.D., M.Sc
Format Journal Article
LanguageEnglish
Published Netherlands Elsevier Inc 01.06.2014
Elsevier
Subjects
Orthopedics
Technical Note
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Summary:Abstract Anterior cruciate ligament reconstruction using double-looped hamstring autograft is a common procedure in orthopaedic practice. However, during placement of the running, locking stitches at each end of the harvested tendons, the surgeon may face several potential obstacles, including the risk of damaging the tendon, predisposing the surgeon to needle-stick injury, and extended time consumption. We report a modified rolling hitch technique for hamstring graft preparation that is quick, cost-saving, and needleless as an alternative method. The original rolling hitch technique uses a traditional knot that attaches a rope to an object; the modified rolling hitch technique was created by adding 1 more turn before finishing with a half-hitch, which may prevent suture slippage off the tendon, thus providing sufficient fixation of the suture-tendon construct.
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ISSN:2212-6287
2212-6287
DOI:10.1016/j.eats.2014.01.010