The Rolling Hitch Surgical Knot: An Alternative to the Krackow Whipstitch for Hamstring Graft in Anterior Cruciate Ligament Reconstruction Surgery

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Abstract

Arthroscopic anterior cruciate ligament reconstruction with hamstring autologous graft is a commonly performed and successful procedure. Tensioning and passing the harvested hamstring graft through the tibial tunnel requires adequate securing with suture material, traditionally with a Krackow whipstitch. This whipstitch does, however, have drawbacks. The technique can create a bulky autograft, reduce the working length of the graft, and is time consuming. The rolling hitch knot provides secure fixation of the autograft, requiring less foreign material, while increasing the working length of the graft and is less time consuming. We present the rolling hitch knot, a novel technique for use in anterior cruciate ligament reconstruction.

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