Minimally Invasive Posterior Hamstring Harvest Trent J. Wilson, M.D., James H. Lubowitz, M.D.  Arthroscopy Techniques  Volume 2, Issue 3, Pages e299-e301 (August 2013) DOI: 10.1016/j.eats.2013.04.008 Copyright © 2013 Arthroscopy Association of North America Terms and Conditions

Fig 1 A 2-cm longitudinal incision is marked over the prominent posteromedial hamstring tendons, just proximal to the popliteal crease (left leg, viewed from medial perspective). Arthroscopy Techniques 2013 2, e299-e301DOI: (10.1016/j.eats.2013.04.008) Copyright © 2013 Arthroscopy Association of North America Terms and Conditions

Fig 2 A Penrose drain is passed around the tendon for better control (left leg, viewed from medial perspective). Arthroscopy Techniques 2013 2, e299-e301DOI: (10.1016/j.eats.2013.04.008) Copyright © 2013 Arthroscopy Association of North America Terms and Conditions

Fig 3 An open minimally invasive graft harvester is used to strip the tendon proximally. Arthroscopy Techniques 2013 2, e299-e301DOI: (10.1016/j.eats.2013.04.008) Copyright © 2013 Arthroscopy Association of North America Terms and Conditions

Fig 4 A closed minimally invasive graft harvester is used for harvesting the tendon off of the tibial cortex at the pes anserinus. It is used as a periosteal elevator to strip the tendon from its insertion. Arthroscopy Techniques 2013 2, e299-e301DOI: (10.1016/j.eats.2013.04.008) Copyright © 2013 Arthroscopy Association of North America Terms and Conditions

Fig 5 While firmly grasping the free tendon end with a dry sponge, the surgeon advances the closed graft harvester carefully, yet progressively, toward the tendon's insertion on the tibial cortex at the pes anserinus (left leg, viewed from medial perspective). The closed harvester is used as a periosteal elevator to elevate the tendon from its site of attachment. Arthroscopy Techniques 2013 2, e299-e301DOI: (10.1016/j.eats.2013.04.008) Copyright © 2013 Arthroscopy Association of North America Terms and Conditions