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Anatomy Research International
Volume 2012, Article ID 424158, 8 pages
Clinical Study

Adequacy of Semitendinosus Tendon Alone for Anterior Cruciate Ligament Reconstruction Graft and Prediction of Hamstring Graft Size by Evaluating Simple Anthropometric Parameters

1Orthopaedic Department of “Saint Paul” General Hospital of Thessaloniki Greece, Ethnikis Antistaseos 161, 55134 Thessaloniki, Greece
2Department of Anatomy, Medical School, Aristotle University of Thessaloniki, University Campus, P.O. Box 300, 54624 Thessaloniki, Greece

Received 28 March 2012; Revised 27 May 2012; Accepted 12 June 2012

Academic Editor: Nikolaos Anastasopoulos

Copyright © 2012 Papastergiou G. Stergios et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Introduction. Preoperative identification of patients with inadequate hamstring grafts for anterior cruciate ligament reconstruction is still a subject of interest. Purpose. The purpose of this study was to determine whether the semitendinosus tendon length is adequate for four-strand graft harvested by common technique (without bone plug) and whether there is correlation of gracilis and semitendinosus tendon grafts length and diameter of quadrupled graft with anthropometric parameters. Materials and Methods. In this retrospective study, 61 patients (45 males, 16 females) undergoing ACL reconstruction using four-strand hamstring autograft tendons were included. Results. The length of semitendinosus tendon, harvested by the common technique, was in 21% of our cases inadequate in order to be used alone as a four-strand graft especially in females (43%). There was moderate correlation between semitendinosus and gracilis graft diameter and patient’s height and weight and fair correlation to BMI. We found no statistically important predictor for graft diameter in female patients. Conclusions. The length of semitendinosus tendon, harvested by common technique, is usually inadequate to be used alone as a four-strand graft especially in females. The most reliable predictor seems to be patient’s height in males. In female patients, there is no statistically important predictor.