Anterior Cruciate Ligament Reconstruction with Quadriceps Tendon Autograft: A Minimally Invasive Harvest Technique.

Slone, Harris S; Xerogeanes, John W · JBJS Essent Surg Tech · 2014

case_series · Level IV

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Abstract

We describe a minimally invasive surgical technique for harvest of a quadriceps tendon autograft that reliably produces a graft suitable for anterior cruciate ligament (ACL) reconstruction while minimizing morbidity and complications classically associated with alternative autograft choices. Position the patient supine on the operating room table. Palpate and mark soft-tissue and osseous landmarks on the involved extremity. Perform the incision and subcutaneous dissection. Harvest the graft. Prepare the graft. If a partial-thickness graft is harvested, no deep closure is needed. Since September of 2011, the quadriceps tendon has been our autograft of choice for ACL reconstruction.IndicationsContraindicationsPitfalls & Challenges.