Harris S Slone1, John W Xerogeanes1. 1. Department of Orthopaedic Surgery, Emery University, 59 Executive Park, Suite 1000, Atlanta, GA 30329.
Abstract
INTRODUCTION: 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. STEP 1 POSITIONING: Position the patient supine on the operating room table. STEP 2 MARKING OF LANDMARKS: Palpate and mark soft-tissue and osseous landmarks on the involved extremity. STEP 3 SUBCUTANEOUS DISSECTION: Perform the incision and subcutaneous dissection. STEP 4 GRAFT HARVEST: Harvest the graft. STEP 5 GRAFT PREPARATION: Prepare the graft. STEP 6 CLOSURE: If a partial-thickness graft is harvested, no deep closure is needed. RESULTS: Since September of 2011, the quadriceps tendon has been our autograft of choice for ACL reconstruction.IndicationsContraindicationsPitfalls & Challenges.
INTRODUCTION: 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. STEP 1 POSITIONING: Position the patient supine on the operating room table. STEP 2 MARKING OF LANDMARKS: Palpate and mark soft-tissue and osseous landmarks on the involved extremity. STEP 3 SUBCUTANEOUS DISSECTION: Perform the incision and subcutaneous dissection. STEP 4 GRAFT HARVEST: Harvest the graft. STEP 5 GRAFT PREPARATION: Prepare the graft. STEP 6 CLOSURE: If a partial-thickness graft is harvested, no deep closure is needed. RESULTS: Since September of 2011, the quadriceps tendon has been our autograft of choice for ACL reconstruction.IndicationsContraindicationsPitfalls & Challenges.
Authors: Sahnghoon Lee; Sang Cheol Seong; Chris Hyunchul Jo; Hyuk Soo Han; Joon Hwan An; Myung Chul Lee Journal: J Bone Joint Surg Am Date: 2007-10 Impact factor: 5.284
Authors: Christopher M Gibbs; Philipp W Winkler; Robert T Tisherman; Calvin K Chan; Theresa A Diermeier; Richard E Debski; Volker Musahl Journal: Orthop J Sports Med Date: 2021-11-11