Outcomes for primary anterior cruciate reconstruction with the quadriceps autograft: a systematic review
Mulford JS, Hutchinson SE, Hang JR Knee Surg Sports Traumatol Arthrosc. 2013 Aug; 21(8): pp. 1882–8
Conclusions: The quadriceps tendon autograft is a promising alternative for primary ACL reconstructions with good outcomes and minimal donor site morbidity. Further studies are required, however, to determine whether the quadriceps graft is as good as or better than other autografts.
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Is Quadriceps Tendon Autograft a Better Choice Than Hamstring Autograft for Anterior Cruciate Ligament Reconstruction? A Comparative Study With a Mean Follow-up of 3.6 Years
Cavaignac E., Coulin B., Tscholl P., Nik Mohd Fatmy N., Duthon V., Menetrey J. Am J Sports Med. 2017 May; 45(6): pp. 1326-1332. doi: 10.1177/0363546516688665.
Conclusion: The use of a QT graft in ACL reconstruction leads to equal or better functional outcomes than does the use of an HT graft, without affecting morbidity.
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Minimally Invasive Quadriceps Tendon Single-Bundle, Arthroscopic, Anatomic Anterior Cruciate Ligament Reconstruction With Rectangular Bone Tunnels
Fink C., Lawton R., Förschner F., Gfoller P., Herbort M., Hoser C. Arthroscopy Techniques October 2018 Vol. 7, Issue 10, pp. e1045–e1056.
In conclusion, cadaveric studies have suggested that rectangular tunnels in combination with a QT graft may better reproduce the native anatomy, including simulating ACL rotation that occurs with knee flexion, compared with round tunnels. Furthermore, rectangular femoral tunnels have reduced overlap with pre-existing transtibial tunnels, reducing the need for bone grafting in some revision cases. Minimally invasive QT harvesting has superior cosmetic results to open techniques, suggesting that cosmetic concerns should not be a barrier to QT graft use. These advantages make QT graft an increasingly attractive option for both primary and revision ACL reconstruction.
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Is quadriceps tendon a better graft choice than patellar tendon? a prospective randomized study
Lund B, Nielsen T, Faunø P, Christiansen SE, Lind M. Arthroscopy. 2014 May ; 30(5): pp. 593-8.
Conclusions: The use of the QTB graft results in less kneeling pain, graft site pain, and sensitivity loss than seen with BPTB grafts; however, similar anterior knee stability and subjective outcomes are seen. The results of this study show that QTB is a viable option for ACL reconstruction.
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Single-bundle anterior cruciate ligament reconstruction: a biomechanical cadaveric study of a rectangular quadriceps and bone--patellar tendon--bone graft configuration versus a round hamstring graft
Herbort M., Tecklenburg K., Zantop T., Raschke M.J., Hoser C. , Martin Schulze M., Fink C. Arthroscopy: Journal of Arthroscopic and Related Surgery, December 2013, Volume 29, Issue 12, pp. 1981-1990.
Conclusions: Under simulated Lachman testing and pivot-shift testing, a reconstruction technique using a rectangular tunnel results in significantly lower anterior tibial translation at 0° and 15° of flexion in comparison to knees reconstructed with a hamstring SB graft using a round tunnel strategy.
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Clinical Outcomes of All Soft Tissue Quadriceps Tendon Autograft in ACL Reconstruction
Xerogeanes J.W., Godfrey W., Gebrelul A., Premkumar A., Mignemi D., Gottschalk M.B., et al. Orthop J Sports Med, July 2017; 5(7 suppl6): 2325967117S00310.
Conclusion: ACL reconstruction with an all soft tissue QT autograft using a minimally invasive harvest technique and suspensory fixation has acceptable short and intermediate-term clinical outcomes. No evidence of early graft failure or lengthening was discovered, confirming suspensory fixation is sufficient for aggressive rehabilitation in a young, athletic patient population. The low complication and failure rates in patients that received QT autograft for ACL reconstruction compare favorably to published data on alternate autograft options. The results of this study support the use of all soft tissue QT autograft in ACL reconstruction.
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Mechanical tensile properties of the quadriceps tendon and patellar ligament in young adults.
Stäubli H.U., Schatzmann L , Brunner P, Rincón L , Nolte L.P. The American Journal of Sports Medicine January 1999, 27(1): 27-34.
Conclusion: .
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MPFL reconstruction using a quadriceps tendon graft: part 2: operative technique and short term clinical results.
Fink C, Veselko M., Herbort M, Hoser C. Knee 2014, http://dx.doi.org/10.1016/j.knee.2014.05.006.
Conclusion: MPFL reconstruction with a strip of QT harvested in a minimal invasive technique was found to be associated with good short term clinical results. We think that this technique presents a valuable alternative to common hamstring techniques for primary MPFL reconstruction in children and adults, as well as for MPFL revision surgery.
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Minimally Invasive Reconstruction of the Medial Patellofemoral Ligament Using Quadriceps Tendon.
Fink C, Veselko M., Herbort M, Hoser C. Arthroscopy Techniques 2014 June, Vol 3, Issue 3, pp. e325–e329.
In summary, we think that the minimally invasive QT technique is a valuable alternative to common hamstring techniques for primary MPFL reconstruction in children and adults, as well as for MPFL revision surgery.
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Quadriceps Tendon Autograft Medial Patellofemoral Ligament Reconstruction.
Fink C., Steensen R., Gföller P. et al. Curr Rev Musculoskelet Med, 2018, 11: 209-220. https://doi.org/10.1007/s12178-018-9476-1.
Conclusions: QT MPFL reconstruction has been shown to be a safe technique with high success at preventing recurrent dislocations and fewer complications than HT techniques.
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Instruction for use
