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ACL Reconstruction Using a Flat Quadriceps Tendon Graft Without Bone Block

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Abstract

Many surgeons use quadriceps tendon (QT) graft for anterior cruciate ligament (ACL) revision surgery; however, despite excellent clinical results, the QT has not achieved universal acceptance for primary ACL reconstruction. One of the reasons for this may be that the QT is technically demanding to harvest, and the scar from open harvesting techniques is less cosmetically favorable than that from hamstring tendon techniques. Recent evidence has suggested that broad flat QT soft tissue grafts may more closely mimic native ACL “ribbon-like” morphology than hamstring tendon grafts.

Instrumentation for minimally invasive QT harvesting has also reduced technical difficulty of QT harvesting and improved cosmetic results. Hence, technical and cosmetic concerns are no longer barriers to QT use. These anatomic and biomechanical advantages and technical developments make the QT an increasingly attractive option for both primary and revision ACL reconstruction. Furthermore, using the QT as a soft tissue graft eliminates the risk for patellar fracture and reduces harvest site morbidity.

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Fink, C., Abermann, E., Smigielski, R., Siebold, R., Herbort, M. (2020). ACL Reconstruction Using a Flat Quadriceps Tendon Graft Without Bone Block. In: Hirschmann, M., Kon, E., Samuelsson, K., Denti, M., Dejour, D. (eds) ESSKA Instructional Course Lecture Book . Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-61264-4_12

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  • DOI: https://doi.org/10.1007/978-3-662-61264-4_12

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-61263-7

  • Online ISBN: 978-3-662-61264-4

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