Full-thickness quadriceps tendon: An easy cruciate reconstruction graft.

Full-thickness quadriceps tendon strength has been found to be similar or higher than that of the patellar tendon. Current techniques spare the deep vastus intermedius to avoid piercing the suprapatellar pouch, which might result in loss of visualization. This approach mainly results in loss of graft thickness and surgical problems related to the dissection made through the tendon. We describe a technique where a full-thickness graft can be used, making tendon stripping easier. We also describe how to preserve visualization during surgery. A double anchorage of the tendinous part of the graft on the femoral side is used together with fixation of the bone end on the tibial side, allowing early motion and thereby avoiding suprapatellar pouch adhesions.