PMC7422414_01
Coronal MRI displaying a retracted complete tear is of the left semitendinosus and biceps femoris tendons from the origin. Associated severe partial tear of the semimembranosus tendon with associated hematoma within the posterior deep musculature measuring up to 16.5 cm.
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fig1
Magnetic resonance imaging (MRI) of the injured extremity demonstrated a left proximal complete tear of the left semitendinosus and biceps femoris tendons from the origin with retraction (see Figure 1).
Intraoperative image of the planned longitudinal incision width.
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fig2
Surgical timeout was completed, and a longitudinal incision was made due to the chronicity of the tear and possible need for extensive dissection (see Figure 2).
Intraoperative photo demonstrating placement of the first anchor of the planned double row repair into the ischial tuberosity hamstring footprint.
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Two 2.6 mm FiberTak Soft Anchor (Arthrex, Naples, FL), triple loaded with three 1.3 mm SutureTapes were placed at the distal aspect of the ischial footprint (see Figure 3).
Double row construct. Blue: triple loaded suture anchor with three SutureTapes and red: triple loaded suture anchor with three SutureTapes.
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fig4
A total of six suture limbs were placed into each eyelet of the SwiveLock anchor to create a knotless construct (see Figure 4).