Five-Strand Hamstring Grafts are Biomechanically Comparable to Four-Strand Grafts and Offer Greater Diameter for Anterior Cruciate Ligament Reconstruction

Generation of 5-Strand Hamstring Autograft for Anterior Cruciate Ligament Reconstruction—A Technical Note

“… 5 , 6 , 8 Five-strand hamstring grafts have been found to be biomechanically similar with to 4-strand grafts in load to failure and stiffness, while offering a greater diameter. 9 In recent studies by both Krishna et al. and Wan et al., the authors found that 5-strand hamstring grafts increased the mean graft diameter significantly by an average of 1.4 mm compared to 4-strand grafts.…”

Four-Stranded Semitendinosus Tendon Anterior Cruciate Ligament Reconstruction With Mini-invasive Anterolateral Ligament Reconstruction

“…Furthermore, it adheres to the preservation of the ACL remnants in accordance with the single anteromedial bundle biological augmentation (SAMBBA) technique. 9 The use of the 4-stranded ST graft endows it with robust biomechanical properties, 10 whereas the preservation of the ACL remnants offers several advantages, including enhanced vascularity, synovial coverage of the graft, and preservation of proprioception. 9 Concerning the ALL reconstruction, its incorporation with ACLR has a protective effect on the ACL graft and meniscal repair as reported in the literature.…”

Technique for All-Inside Anterior Cruciate Ligament Reconstruction Using Quadrupled Semitendinosus and Gracilis Autograft

“… 9 Furthermore, there is a recent report of a 5-strand hamstring graft showing comparable biomechanical strength to a quadrupled graft and indicating that this may be an option if the final graft diameter is insufficient. 14 …”