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Hamstring Graft for Anterior Cruciate Ligament Repair

Hamstring graft for ACL surgery, showing the tendons used and the graft placed in the upper and lower leg bones

For anterior cruciate ligament (ACL) surgery, the replacement graft can be harvested from up to three tendons. The surgeon uses part of the tendon from the semitendinosus muscle and part of the tendon from the gracilis muscle. The graft is pulled through tunnels that were drilled in the upper and lower leg bones. Then the graft is secured with screws or staples.

Current as of: March 2, 2020

Author: Healthwise Staff
Medical Review: Adam Husney, MD - Family Medicine
Kathleen Romito, MD - Family Medicine
Kenneth J. Koval, MD - Orthopedic Surgery, Orthopedic Trauma