Minimally invasive harvest of a quadriceps tendon graft with or without a bone block.
case_series · Level IV
Where this comes from
- Record sourced from PubMed, PMID 25264512.
- Also identified by DOI 10.1016/j.eats.2014.06.003 and PMC identifier 4175165.
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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.