The Hamstring Graft: ACL Reconstruction with Quadruple Bundle Gracilis and Semitendinosus Tendons

ACL reconstruction with quadruple bundle gracilis and semitendinosus is the most common ACL procedure due to its simplicity and lesser morbidity related to graft harvesting. Like in all techniques, the time dedicated to the graft harvesting is paramount. The quality of the graft dictates the long-term results of the ACL reconstruction. In this chapter, we shall also place emphasis on the well positioning of the femoral tunnel because an anteriorly positioned femoral tunnel is the number one cause of ACL failure.