What does this research mean for the field?

The 5-strand hamstring autograft technique for anterior cruciate ligament reconstruction reliably achieves graft diameters greater than 8 mm, reducing the risk of graft failure associated with smaller diameters while maintaining comparable clinical outcomes to traditional constructs. Novelty: ClaimNovelty.METHODOLOGICAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

The aim is to evaluate the efficacy of a five-strand hamstring autograft technique for ACL reconstruction.

May 17, 2026JBJS Essential Surgical Techniques

Five-Strand Hamstring Autograft Anterior Cruciate Ligament Reconstruction

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Authors

JPJ. Christian PetersonOklahoma City University WJWilliam L. JusticeThomas Jefferson University NTNathaniel TchangouDrexel University

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Implication

Randomized trial demonstrates graft diameter benefits and improved outcomes in ACL reconstruction using hamstring autografts, suggesting better surgical techniques.

Key Points

The aim is to evaluate the efficacy of a five-strand hamstring autograft technique for ACL reconstruction.
Video article detailing the step-by-step procedure of five-strand hamstring autograft ACL reconstruction.
Diagnostic knee arthroscopy and tendon harvesting of semitendinosus and gracilis are performed.
Graft diameter and outcomes are compared between 4-strand and 5-strand techniques.
5-strand constructs achieved larger mean graft diameters (9.32 mm) compared to 4-strand (7.96 mm), P<0.05.
Lower revision rates are associated with grafts of ≥8 mm diameter, with failure rates at 1.7% for larger grafts.
Hamstring autograft showed similar functional outcomes compared to bone-patellar tendon-bone and quadriceps tendon autografts.

Cite This Study

Peterson et al. (2026) studied this question.

synapsesocial.com/papers/6a095c6d7880e6d24efe298c https://doi.org/10.2106/jbjs.st.25.00009

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Implication

Randomized trial demonstrates graft diameter benefits and improved outcomes in ACL reconstruction using hamstring autografts, suggesting better surgical techniques.

Five-Strand Hamstring Autograft Anterior Cruciate Ligament Reconstruction

Discussion

Member takes

Implication

Key Points

Cite This Study

Five-Strand Hamstring Autograft Anterior Cruciate Ligament Reconstruction

Discussion

Member takes

Implication

Key Points

Cite This Study

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