2023 Annual Meeting Knee Access Pass-Surgical Spotlight: My Pearls for a Reproducible Quad Tendon Harvest and an All-Inside ACL Reconstruction

Surgical Spotlight: My Pearls for a Reproducible Quad Tendon Harvest and an All-Inside ACL Reconstruction

Video Transcription

Video Summary

Dr. Mary Mulcahy presented pearls for reproducible quadriceps tendon autograft harvest in all-inside ACL reconstruction. Key points include positioning the patient supine with the knee at 90° flexion, using a longitudinal incision just lateral to the vastus medialis obliquus to harvest the central 10mm of the tendon, and carefully closing any capsule rents to prevent complications. Graft length depends on the surgical technique: 6.5 cm for all-inside and 8 cm for full tibial tunnels. Closing the harvest site before arthroscopy is important. She also demonstrated all-inside ACL reconstruction emphasizing tunnel drilling, graft insertion, and fixation techniques, endorsing quad autograft as reliable.

Asset Caption

Mary K. Mulcahey, M.D., FAANA

Keywords

quadriceps tendon autograft

all-inside ACL reconstruction

graft harvest technique

knee positioning 90 degrees flexion

tunnel drilling and graft fixation