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Combined Reconstruction of the Posterolateral Corner, Anterior Cruciate Ligament, and Lateral Extra-articular Tenodesis Using Autografts and a Single Femoral Tunnel.

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[Protocol for a Randomized Clinical Trial to Assess the Effects of Extra-Articular Strengthening in Anterior Cruciate Ligament Reconstruction on the Clinical and Functional Condition of High-Performance Athletes].

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Protocol for a Randomized Clinical Trial to Assess the Effects of Extra-Articular Strengthening in Anterior Cruciate Ligament Reconstruction on the Clinical and Functional Condition of High-Performance Athletes.

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Double-Bundle Posterior Cruciate Ligament Reconstruction Using the Rectus Femoris Graft-Superficial Layer of the Quadriceps: Surgical Technique.

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Athymic Rat Model for Evaluation of Engineered Anterior Cruciate Ligament Grafts
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Harvesting the Quadriceps Tendon With a Minimally Invasive Approach.

Diego Pires1, Leonardo Monteiro2, Marcelo Cabral Fagundes Rego3

  • 1Integral Medicine Institute Prof. Fernando Figueira, Recife, Brazil.

Video Journal of Sports Medicine
|May 1, 2025
PubMed
Summary

Minimally invasive quadriceps tendon harvesting offers a viable surgical option for knee ligament reconstruction. This technique demonstrated satisfactory outcomes and excellent postoperative evolution in patients undergoing anterior cruciate ligament repair.

Keywords:
ACL reconstructionACL tearharvesting quad tendonkneequadriceps tendon

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Minimally Invasive Procedures

Background:

  • Describes a standardized, minimally invasive technique for quadriceps tendon harvesting.
  • Utilizes a small transverse skin incision (2-3 cm) for graft procurement.

Purpose of the Study:

  • To present a viable surgical option for quadriceps tendon harvesting.
  • To evaluate the efficacy and safety of a minimally invasive approach for soft tissue grafts.

Main Methods:

  • A transverse anterior knee incision followed by a longitudinal split of the central quadriceps tendon.
  • Distal patellar detachment and graft extraction using a closed stripper.
  • Graft preparation involves folding for a double-strand construct.

Main Results:

  • Twenty patients (16 male, 4 female) with anterior cruciate ligament (ACL) rupture underwent reconstruction.
  • All patients achieved satisfactory results with good immediate and late postoperative outcomes.
  • No instances of joint stiffness, wound dehiscence, or infection were reported.

Conclusions:

  • Minimally invasive quadriceps tendon harvesting is a valid and reliable technique for knee ligament reconstruction.
  • The procedure is suitable for patients requiring soft tissue grafts for ligament repair.