To Study the Correlation Between the Height & the Quadruple Semitendinosus Graft Diameters


ACL Tears
Hamstring Tendons

How to Cite

Dr. Nitin Bhalerao. (2020). To Study the Correlation Between the Height & the Quadruple Semitendinosus Graft Diameters. VIMS Health Science Journal , 7(1), 1-4.


Background: Diameter of hamstring graft is variable. Premature tendon amputation occurs because of inability to identify and release all accessory bands. Preoperative prediction of hamstring graft size, number and distance of accessory bands is useful for surgeon. Methodology: This is cross-sectional study included 60 patients. Correlation coefficient (Pearson’s r) was used. T-test was used to compare the variables in both genders. Result: There were correlations between the mean semitendinosus tendon diameters- femoral side (FD) and tibial side (TB) with height of patient (Pearson correlation for FD =0.442 and P< 0.001) (Pearson correlation for TD =0.663 and P< 0.001). For the semitendinosus tendons, the mean number of accessory bands was 1.48. The average distance of the most distal band (D1) to the tibial crest insertion was 6.7 ± 2.04 cm (range 3- 11 cm). In our study, distance of most proximal band to the tibial crest insertion was 11.5 cm (mean 8.5 cm). Conclusion: In our study, positive correlation between the height and the quadruple semitendinosus graft diameters was present. Semitendinosus graft diameters were more in males as compare to females. Third accessory band was present only in males (n=4) in our study. As height of patient increases, distance of distal band (D1) increases from tibial crest. There was inverse correlation between number of accessory bands and distance of the most distal band (D1) insertion. As number of bands less, the more is distance of proximal band from tibial crest.


Asif N, Ranjan R, Ahmed S, Sabir AB, Jilani LZ, Qureshi OA. Prediction of quadruple hamstring graft diameter for anterior cruciate ligament reconstruction by anthropometric measurements. Indian Journal of Orthopaedics. 2016;50(1):49-54. doi:10.4103/0019-5413.173521.

Treme G, Diduch DR, Billante MJ, Miller MD, Hart JM. Hamstring graft size prediction: a prospective clinical evaluation. Am J Sports Med. 2008; 36(11):2204-9

Lecoq, F.-A. et al. Graft Choice and the Incidence of Osteoarthritis After Anterior Cruciate Ligament Reconstruction: A Causal Analysis From a Cohort of 541 Patients. The American Journal of Sports Medicine, 036354651879513. doi:10.1177/0363546518795137

Miller RH III, Azar FM. Knee injuries. 12th ed. Canale ST, Beaty JH, eds. Campbell's Operative Orthopaedics. vol. 3. Canada: Elsevier Mosby; 2012: 2142.

Challa S, Satyaprasad J. Hamstring graft size and anthropometry in south Indian population. Journal of Clinical Orthopaedics and Trauma. 2013;4(3):135-138. doi:10.1016/j.jcot.2013.09.005.

Mardani-Kivi M, Karimi-Mobarakeh M, Mirbolook A, et al. Predicting the Hamstring Tendon Diameter Using Anthropometric Parameters. Archives of Bone and Joint Surgery. 2016;4(4):314-317.

Ma CB, Keifa E, Dunn W, Fu FH, Harner CD. Can pre-operative measures predict quadruple hamstring graft diameter? Knee. 2010; 17(1):81-3.

Gupta R, Malhotra A, Masih GD, Khanna T. Equation-based precise prediction of length of hamstring tendons and quadrupled graft diameter by various anthropometric variables for knee ligament reconstruction in Indian population. J Orthop Surg (Hong Kong). 2017 Jan;25(1):2309499017690997. doi: 10.1177/2309499017690997.

Goyal S, Matias N, Pandey V, et al. Are pre-operative anthropometric parameters helpful in predicting length and thickness of quadrupled hamstring graft for ACL reconstruction in adults? A prospective study and literature review. Int Orthop 2016; 40: 173–181.

Warren R F, Marshall J L. The supporting structures and layers on the medial side of the knee: an anatomical analysis. J Bone Joint Surg (Am) 1979; 61: 56-62.

Tuncay I, Kucuker H, Uzun I, Karalezli N. The fascial band from semitendinosus to gastrocnemius: the critical point of hamstring harvesting: an anatomical study of 23 cadavers. Acta Orthop. 2007 Jun;78(3):361-3.

Yasin MN, Charalambous CP, Mills SP, Phaltankar PM. Accessory bands of the hamstring tendons: A clinical anatomical study. Clin Anat. 2010 Oct;23(7):862-5. doi: 10.1002/ca.21020.

Candal-Couto JJ, Deehan DJ. 2003. The accessory bands of Gracilis and Semitendinosus: An anatomical study. Knee 10:325–328.

Almazan A, Miguel A, Odor A, Ibarra JC. 2006. Intraoperative incidents and complications in primary arthroscopic anterior cruciate ligament reconstruction. Arthroscopy 22:1211–1217.

Tuman JM, Diduch DR, Rubino LJ, Baumfeld JA, Nguyen HS, Hart JM. Predictors for hamstring graft diameter in anterior cruciate ligament reconstruction. Am J Sports Med. 2007; 35(11):1945-9.

Schwartzberg R, Burkhart B, Lariviere C. Prediction of hamstring tendon autograft diameter and length for anterior cruciate ligament reconstruction. Am J Orthop (Belle Mead NJ) 2008;37:157 9.

Pagnani MJ, Warner JJ, O’Brien SJ, Warren RF. 1993. Anatomic considerations in harvesting the semitendinosus and gracilis tendons and a technique of harvest. Am J Sports Med 21:565–571.

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

Copyright (c) 2020 Array


Download data is not yet available.