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Anterior Cruciate Ligament Reconstruction with a Single-Bundle Autologous Quadriceps Tendon

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Arthroscopy

Abstract

The quadriceps tendon is a suitable graft for anterior cruciate ligament reconstruction. Although the quadriceps tendon is the least used autograft for ACL reconstruction, its versatility, especially in graft sizing, and its biomechanical and histological properties allow for proper individualized treatments. Clinical outcomes are also good, with the advantages of increased primary bone-to-bone fixation strength associated to less tunnel widening and less postoperative laxity as found in BPTB, but without the disadvantage of increased incidence of anterior knee pain. Complication rate is low, with minimal risk of patellar fracture reported in literature. Given these findings, the quadriceps tendon autograft can be considered as one of the autograft of choice for primary ACL reconstruction in patients with high functional demands.

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Authors and Affiliations

  1. Unité d’Orthopédie et Traumatologie du Sport, Swiss Olympic Medical Center, 4, Rue Gabrielle-Perret-Gentil, Genève 4, CH-1211, Switzerland

    Jacques Menetrey MD, PhD, Etienne Cavaignac MD & Philippe Tscholl MD

  2. Service de chirurgie orthopédique et traumatologie de l’appareil moteur, University Hospital of Geneva, 4, Rue Gabrielle-Perret-Gentil, Genève 4, CH-1211, Switzerland

    Jacques Menetrey MD, PhD, Etienne Cavaignac MD & Philippe Tscholl MD

  3. Faculty of Medicine, University of Geneva, 4, Rue Gabrielle-Perret-Gentil, Genève 4, CH-1211, Switzerland

    Jacques Menetrey MD, PhD, Etienne Cavaignac MD & Philippe Tscholl MD

Authors
  1. Jacques Menetrey MD, PhD
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  2. Etienne Cavaignac MD
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  3. Philippe Tscholl MD
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Correspondence to Jacques Menetrey MD, PhD .

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Editors and Affiliations

  1. San Donato Milanese, Milano, Italy

    Pietro Randelli

  2. Lyon, France

    David Dejour

  3. Academic Med Ctr, Orthopedic Surger, Univ of Amsterdam, Amsterdam, The Netherlands

    C. Niek van Dijk

  4. Istituto Clinico Humanitas, Rozzano, Milan, Italy

    Matteo Denti

  5. Dept Orthopedic Surgery & Sports Meds, Ctr Hospitalier Clinique d’Eich, Luxemburg, Luxembourg

    Romain Seil

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Menetrey, J., Cavaignac, E., Tscholl, P. (2016). Anterior Cruciate Ligament Reconstruction with a Single-Bundle Autologous Quadriceps Tendon. In: Randelli, P., Dejour, D., van Dijk, C., Denti, M., Seil, R. (eds) Arthroscopy. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-49376-2_22

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  • DOI: https://doi.org/10.1007/978-3-662-49376-2_22

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