Ipsilateral Quadriceps Tendon-Bone ACL Revision Reconstruction to Address Failed Primary Bone-Patellar Tendon-Bone...

Area of Science:

• Orthopedic Surgery
• Sports Medicine
• Biomedical Engineering

Background:

• Bone-patellar tendon-bone (BPTB) autograft is a common choice for anterior cruciate ligament reconstruction (ACLR).
• Revision ACLR is necessary when primary ACLR fails.
• Quadriceps tendon autograft is an increasingly popular option for revision ACLR.

Purpose of the Study:

• To describe a technique for revision ACLR using ipsilateral quadriceps tendon-bone autograft after failed primary BPTB ACLR.
• To highlight technical considerations, particularly preserving patellar bone integrity in cases of distal patellar bone defect.

Main Methods:

• The study describes a surgical technique for harvesting and utilizing the quadriceps tendon-bone autograft.
• Emphasis is placed on managing patellar bone integrity during graft harvesting and fixation.

Main Results:

• The described technique allows for revision ACLR in patients with prior BPTB ACLR and distal patellar bone defects.
• Quadriceps tendon-bone autograft offers resilient graft tissue and promotes fast bone-to-bone healing on the femoral side.

Conclusions:

• Ipsilateral quadriceps tendon-bone autograft is a viable and advantageous option for revision ACLR following BPTB autograft failure.
• This technique is particularly suitable for highly active young adults and cases involving bilateral primary BPTB ACLRs.