Arthroscopy Techniques (Aug 2024)

Ultrasound-Guided Posteromedial Semitendinosus Tendon Harvest

  • Alexander Ho, Jr., M.D.,
  • Hiroshi Ohuchi, M.D., Ph.D.,
  • Takuya Okada, M.D.,
  • Shuzo Takazawa, M.D.,
  • Shin Yamada, M.D.,
  • Yuki Kato, M.D., Ph.D.

Journal volume & issue
Vol. 13, no. 8
p. 103019

Abstract

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Hamstring tendon autografts have emerged as the graft of choice by over 50% of sports surgeons worldwide performing anterior cruciate ligament reconstruction. A more recent technique in harvesting the semitendinosus tendon, the posteromedial approach, afforded multiple benefits compared with the anteromedial approach. However, for the inexperienced surgeon, the current techniques may not be as simple because of decreased tendon tension after general anesthesia induction and subcutaneous layer dissection, making it difficult to palpate the semitendinosus tendon. By utilizing ultrasound to assist us during our harvest, we can perform the procedure with increased accuracy and efficiency, which leads to a safer, more proficient, and less invasive procedure.