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Arthrosc Tech. 2016 Feb 08;5(1):e139-42. doi: 10.1016/j.eats.2015.10.011. eCollection 2016 Feb.

Minimally Invasive Anterior Semitendinosus Harvest: A Technique to Decrease Saphenous Nerve Injury.

Arthroscopy techniques

Philippe Colombet, Nicolas Graveleau

Affiliations

  1. Clinique du Sport Bordeaux-Mérignac, Mérignac, France.

PMID: 27274445 PMCID: PMC4885910 DOI: 10.1016/j.eats.2015.10.011

Abstract

Hamstring tendon harvest, especially semitendinosus harvest, has been widely used in anterior cruciate ligament reconstruction for many years. However, donor site morbidity has been described regarding the infrapatellar branch of the saphenous nerve. Minimally invasive anterior semitendinosus harvest is a simple, safe, reproducible, and elegant technique. A 2-cm vertical incision above the pes anserinus is performed 2 cm medial to the tibial anterior tubercle. The fascia superficialis is opened with a horizontal incision, and the gracilis is isolated using a retractor. The semitendinosus is grabbed with a probe, and the vincula are hooked one by one. The tendon is harvested with a closed stripper. The expansions are cut, and the tendon is detached from the bone with part of the periosteum.

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