Technique for Complete Extensor Mechanism Reconstruction Using a Fresh Quadriceps Tendon-Patella-Patellar Tendon-Tibial Tubercle Allograft in a Native Knee.

Decilveo, Alexander P; Lin, Eric H; Feingold, Cailan L; Sharma, Parul; Ariniello, Allison; Lai, Wilson; Hatch, George F Rick · Arthrosc Tech · 2025

case_report · Level V

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Abstract

Chronic extensor mechanism injuries can cause severe functional impairment and require extensive surgical intervention. Current techniques involve reconstruction of the extensor mechanism using allograft, autograft, or synthetic mesh. This Technical Note describes an extensor mechanism reconstruction utilizing a fresh complete quadriceps tendon-patella-patellar tendon-tibial tubercle allograft for patients with chronic, recurring extensor mechanism injuries.

Anatomy