Krishna L, et al. - Researchers ascertained the extent to which a strategy of routinely preparing a 5-strand hamstring autograft would increase graft size in anterior cruciate ligament (ACL) reconstruction. In ACL reconstruction, a significantly larger diameter graft was seen to be provided by the 5-strand hamstring autograft vs the quadrupled hamstring autograft in ACL reconstruction. In 75% of patients, graft sizes exceeding 8 mm were achievable with the routine application of this technique. This was notably more than that obtained with the standard quadrupled hamstring graft. Findings also suggested a significant association of hamstring tendon length and quadrupled hamstring graft diameter with patient height.