Minimally Invasive Harvest of a Quadriceps Tendon Graft With or Without a Bone Block

Abstract The quadriceps tendon (QT) as a graft source for anterior cruciate ligament (ACL) and posterior cruciate ligament reconstruction has recently achieved increased attention. Although many knee surgeons have been using the QT as a graft for ACL revision surgery, it has never gained universal a...

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Bibliographic Details
Published in:Arthroscopy techniques (Amsterdam) 2014-08, Vol.3 (4), p.e509-e513
Main Authors: Fink, Christian, M.D, Herbort, Mirco, M.D, Abermann, Elisabeth, M.D, Hoser, Christian, M.D
Format: Article
Language:English
Subjects:
Orthopedics
Technical Note
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Summary:Abstract The quadriceps tendon (QT) as a graft source for anterior cruciate ligament (ACL) and posterior cruciate ligament reconstruction has recently achieved increased attention. Although many knee surgeons have been using the QT as a graft for ACL revision surgery, it has never gained universal acceptance for primary ACL reconstruction. The QT is a very versatile graft that can be harvested in different widths, thicknesses, and lengths. Conventionally, the QT graft is harvested by an open technique, requiring a 6 to 8 cm longitudinal incision, which often leads to unpleasant scars. We describe a new, minimally invasive, standardized approach in which the QT graft can be harvested through a 2- to 3-cm skin incision and a new option of using the graft without a bone block.
ISSN:2212-6287
2212-6287
DOI:10.1016/j.eats.2014.06.003