Skip to content
DraconiticResearch
Search Sources API
197,768 studies31 sourcesUpdated 36 min ago
Peer-reviewedCC BY-NC-NDArthroscopy techniques

Semimembranosus Autograft Harvesting and Reconstruction for Knee Posteromedial Complex Laxity Using a “Romal Reins” Technique

  • Pranjal Kodkani1,2,3
  1. 1Center for Joint Preservation Surgery, Arthroscopy & Sports Injury Mumbai India
  2. 2P D Hinduja – Khar Mumbai India
  3. 3Lilavati Hospital Mumbai India
Read full textPDFDOICite

Abstract

This technical report presents semimembranosus tendon harvest and its use as an autograft in knee ligament reconstruction. The distal semimembranosus tendon is a robust and long tendon, which makes it a suitable autograft option with its distal insertions kept intact. It has multiple insertions onto the posteromedial corner of the tibia and the posteromedial ligament complex (PMC). Tensioning this tendon insertion results in tightening of the PMC and thus achieves posteromedial stability. Harvesting the tendon with its lateral third left intact with its muscular attachment retains its dynamic action. Using the medial two‐thirds of the tendon as an autograft for PMC reconstruction with a “Romal Reins” concept restores joint stability. The graft is notably beneficial in cases of multiligament laxity where there may be a shortage of free autografts for PMC reconstruction. This technique tightens and reconstructs the major PMC stabilizing structures without requiring individual structural reconstructions. It reduces the need for multiple grafts, reconstructions, bone tunnels, and implants for managing PMC laxity. This technique of semimembranosus tendon graft harvest and PMC reconstruction is safe, simple, minimally invasive, and effective with the least risk of complications. It could possibly be a preferred graft and reconstruction technique for PMC reconstruction.

Related

  1. Autograft Selection in Anterior Cruciate Ligament Reconstruction: A Meta-Analysis of Patellar Tendon versus Hamstring Tendon Outcomes in Randomized Controlled Trials
    S. Akram, M. Nadeem
    medRxivPreprintAll rights reservedFull textSurgery & anaesthesiamedRxiv
  2. Comparative Evaluation of Postoperative Corneal Astigmatic Correction Following Pterygium Excision by Bare Sclera Technique Versus Conjunctival Limbal Autograft: A Prospective Observational Study
    Saubhik Chattopadhyay, Anil Kumar Ghanta, Ophelia Mukherjee
    GAIMS Journal of Medical SciencesPeer-reviewedCC BY-NC-SAFull textGeneral medicineDOAJ
  3. Aneurysmal Bone Cyst of the Radial Diaphysis Managed by En Bloc Resection and Fibular Strut Autograft Reconstruction in a Young Adult Female: A Rare Case Report
    Abdul Hadi Khan, Emman Hussain, Laiba Arif +4
    Clinical case reportsPeer-reviewedCC BYFull textGeneral medicineEurope PMCPMC
  4. Rabbit distal femoral critical size bone defect model: Vascular anatomy, surgical technique, peri-operative husbandry and biological response of empty and autograft-filled defects
    Daniel J. Wills, Rema A. Oliver, James D. Crowley +5
    PLOS OnePeer-reviewedCC BY 4.0Full textPhysiologyPLOS
  5. Endoscopic versus open vein harvesting technique and 2-year saphenous vein graft patency: A subanalysis of the Newton-CABG CardioLink-5 randomized trial.
    Raj Verma, Hwee Teoh, Lawrence A Leiter +12
    JTCVS openPeer-reviewedCC BY-NC-NDFull textSurgery & anaesthesiaEurope PMCPMC

Cite

BibTeXRIS
BibTeX
@article{kodkani2026semimembranosus,
  title = {{Semimembranosus Autograft Harvesting and Reconstruction for Knee Posteromedial Complex Laxity Using a “Romal Reins” Technique}},
  author = {Pranjal Kodkani},
  journal = {Arthroscopy techniques},
  year = {2026},
  month = oct,
  doi = {10.1002/atn2.70367},
  url = {https://europepmc.org/article/PMC/PMC13722134},
  note = {CC BY-NC-ND},
}
RIS
TY  - JOUR
TI  - Semimembranosus Autograft Harvesting and Reconstruction for Knee Posteromedial Complex Laxity Using a “Romal Reins” Technique
AU  - Pranjal Kodkani
PY  - 2026
DA  - 2026/10/30
JO  - Arthroscopy techniques
DO  - 10.1002/atn2.70367
UR  - https://europepmc.org/article/PMC/PMC13722134
AB  - This technical report presents semimembranosus tendon harvest and its use as an autograft in knee ligament reconstruction. The distal semimembranosus tendon is a robust and long tendon, which makes it a suitable autograft option with its distal insertions kept intact. It has multiple insertions onto the posteromedial corner of the tibia and the posteromedial ligament complex (PMC). Tensioning this tendon insertion results in tightening of the PMC and thus achieves posteromedial stability. Harvesting the tendon with its lateral third left intact with its muscular attachment retains its dynamic action. Using the medial two‐thirds of the tendon as an autograft for PMC reconstruction with a “Romal Reins” concept restores joint stability. The graft is notably beneficial in cases of multiligament laxity where there may be a shortage of free autografts for PMC reconstruction. This technique tightens and reconstructs the major PMC stabilizing structures without requiring individual structural reconstructions. It reduces the need for multiple grafts, reconstructions, bone tunnels, and implants for managing PMC laxity. This technique of semimembranosus tendon graft harvest and PMC reconstruction is safe, simple, minimally invasive, and effective with the least risk of complications. It could possibly be a preferred graft and reconstruction technique for PMC reconstruction.
SN  - 2212-6287
ER  -