Hydrodissection and Hydrodelineation of Hamstring Tendons: Novel Technique for Graft Harvesting

Hamstring graft harvest is an important step in modern day arthroscopic anterior cruciate ligament reconstruction surgery. Various techniques of hamstring graft harvest has been reported. We have described a novel method of graft harvesting which eases the identification of the desired tendons and offers protection to saphenous nerve and superficial medial collateral ligament, which could be damaged. Our method is easy to perform after some training and does not require any additional equipment. It is also reproducible as the structures over the medial side of the tibia have a consistent anatomic pattern.