Hamstring Graft Preparation Using a Modified Rolling Hitch Technique

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Presentation transcript:

Hamstring Graft Preparation Using a Modified Rolling Hitch Technique Chih-Kai Hong, M.D., Chih-Hsun Chang, M.D., Chen-Hao Chiang, M.D., I-Ming Jou, M.D., Ph.D., Wei-Ren Su, M.D., M.Sc. Arthroscopy Techniques Volume 3, Issue 3, Pages e321-e324 (June 2014) DOI: 10.1016/j.eats.2014.01.010 Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

Fig 1 The technique begins by wrapping the suture line around the tendon graft and bringing the ends of both strings toward the operator. Arthroscopy Techniques 2014 3, e321-e324DOI: (10.1016/j.eats.2014.01.010) Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

Fig 2 The surgeon uses his or her right hand to make a complete loop around the tendon graft. Arthroscopy Techniques 2014 3, e321-e324DOI: (10.1016/j.eats.2014.01.010) Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

Fig 3 Another loop is added around the tendon graft. Our modified rolling hitch differs from a traditional rolling hitch by completing 2 loops instead of 1. Arthroscopy Techniques 2014 3, e321-e324DOI: (10.1016/j.eats.2014.01.010) Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

Fig 4 The suture line is pulled in the opposite direction so that it crosses over the previous 2 loops. Arthroscopy Techniques 2014 3, e321-e324DOI: (10.1016/j.eats.2014.01.010) Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

Fig 5 The procedure is completed with a half-hitch by making a turn around the tendon graft. Arthroscopy Techniques 2014 3, e321-e324DOI: (10.1016/j.eats.2014.01.010) Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

Fig 6 The working suture strand is passed underneath the loop. Arthroscopy Techniques 2014 3, e321-e324DOI: (10.1016/j.eats.2014.01.010) Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

Fig 7 The surgeon snugs the loops together and pulls on both suture strands to secure the knot. Arthroscopy Techniques 2014 3, e321-e324DOI: (10.1016/j.eats.2014.01.010) Copyright © 2014 Arthroscopy Association of North America Terms and Conditions