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. 2023 Oct 9;11(10):e23.00057.
doi: 10.2106/JBJS.RVW.23.00057. eCollection 2023 Oct 1.

Role of Quadriceps Tendon Autograft in Primary and Revision Anterior Cruciate Ligament Reconstruction

Stephen E Marcaccio  1 , Patrick J Morrissey, Edward J Testa, Paul D Fadale
Affiliations

Role of Quadriceps Tendon Autograft in Primary and Revision Anterior Cruciate Ligament Reconstruction

Stephen E Marcaccio et al. JBJS Rev. .

Abstract

» The quadriceps tendon (QT) autograft is becoming increasingly popular in both primary and revision anterior cruciate ligament reconstruction (ACLR).» The biomechanical properties of the QT are similar to those of the native ACL, the hamstring tendon (HT), and bone-patellar tendon-bone (BTB) autografts.» QT autograft allows surgeons to be flexible with their graft size and reconstruction technique.» The QT autograft performs in a similar fashion to the BTB and HT autografts, with excellent patient-reported outcomes, consistent postoperative knee stability, and low rates of postoperative complications including graft failure and donor site morbidity.» There are emerging data that the QT autograft is a viable option in revision ACLR.

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Conflict of interest statement

Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSREV/B10).

Figures

Fig. 1
Fig. 1
Quadriceps tendon in a right knee showing the dual peaks (arrows) at the musculotendinous junction. Reproduced, with permission, from: Lippe J, Armstrong A, Fulkerson JP. Anatomic guidelines for harvesting a quadriceps free tendon autograft for anterior cruciate ligament reconstruction. Arthroscopy. 2012;28(7):980-4.
Fig. 2
Fig. 2
Bulky quadriceps tendon graft. The rectus femoris and vastus intermedius layers are separated by a fat stripe (asterisk). Reproduced, with permission, from: Lippe J, Armstrong A, Fulkerson JP. Anatomic guidelines for harvesting a quadriceps free tendon autograft for anterior cruciate ligament reconstruction. Arthroscopy. 2012;28(7):980-4.
See this image and copyright information in PMC

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