Soft Tissue Quadriceps Tendon Autograft Harvest Technique With Determination of Proper Graft Length for Anterior...

The quadriceps tendon has been shown to be a reliable and versatile graft choice for anterior cruciate ligament reconstruction. Although reconstruction with quadriceps graft allows for several advantages, excellent outcomes, and choice of harvest length, there remain technical challenges in utilization. Graft mismatch, although less commonly described with quadriceps graft than patella tendon, remains a point of emphasis, with surgeon concerns of "bottoming out" grafts or having grafts that are too short. As such, we present a simple, reproducible technique for achieving ideal graft length for quadriceps tendon autograft anterior cruciate ligament reconstruction based on patient's height.