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Abstract

Introduction: Anterior cruciate ligament (ACL) reconstruction is a very frequent surgery, hamstring autograft is one of the most commonly used grafts. Currently, it appears that graft diameter equal to or less than 8 mm has been associated with an increased risk of rupture. There is a lack of consensus as to how a small diameter graft is managed intraoperatively.Objective: To know the current trend in our country regarding ACL augmentation techniques.Material and Methods: Online survey sent from the Spanish Arthroscopy Association (AEA) to all its members.Results: 187 answers were obtained (14.38%). A total of 38.2% of surgeons always performed some augmentation technique. 45.9% prepared the graft in more than 4 fascicles, 16.7% used other techniques, 13.4% used fascia lata, 8.6% used quadricipital tendon or no technique and 7% used hybrid auto-allograft. Synthetic material was added in 12.4%, biological augmentation in 5.3% and anterolateral reinforcement in 29.9%. Conclusion:Currently, there is no consensus in our country regarding the intraoperative management of a hamstring graft equal to or less than 8 mm. In general, the current tendency is to prepare the graft in more than 4 fascicles. More studies are needed to know which is the most recommended technique.