# Enhancing ACL reconstruction: augmented hamstring allograft with high-strength sutures for superior graft stability

**Authors:** Danaithep Limskul, Rattanavit Phandthong, Napatpong Thamrongskulsiri, Thun Itthipanichpong, Thanathep Tanpowpong, Somsak Kuptniratsaikul

PMC · DOI: 10.1093/jscr/rjaf013 · Journal of Surgical Case Reports · 2025-04-21

## TL;DR

A new ACL reconstruction technique uses allografts with high-strength sutures to improve graft stability and reduce donor site complications.

## Contribution

An augmented allograft technique with high-strength sutures is introduced for ACL reconstruction.

## Key findings

- The technique reduces donor site morbidity and postoperative pain.
- It enhances graft stability and may allow faster rehabilitation.
- The method decreases the risk of graft re-rupture and contralateral injuries.

## Abstract

The conventional autograft technique for anterior cruciate ligament (ACL) reconstruction poses challenges such as donor site morbidity and postoperative pain. This technique introduces an augmented allograft technique using high-strength sutures to enhance graft stability and healing. The method involves preparing a semitendinosus and gracilis allograft. This technique reduces donor site morbidity, preserves the patient’s natural anatomy, and may allow for faster rehabilitation. Additionally, it decreases the chance of contralateral injuries and graft re-rupture, enhancing ACL strength and knee stability. The augmented allograft with high-strength suture presents a promising alternative for ACL reconstruction, offering increased graft strength and knee stability while avoiding complications associated with autograft harvesting.

## Full-text entities

- **Diseases:** ACL (MESH:D000070598), contralateral (MESH:C535634), postoperative pain (MESH:D010149)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

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## References

15 references — full list in the complete paper: https://tomesphere.com/paper/PMC12010152/full.md

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Source: https://tomesphere.com/paper/PMC12010152