AANA Knee Arthroscopy - September 2024-ACL Graft Selection Debate 2: Quadriceps Tendon ACLR: Laud the Quad!

ACL Graft Selection Debate 2: Quadriceps Tendon ACLR: Laud the Quad!

Video Transcription

Video Summary

Clay Milley from the University of Missouri discusses ACL graft options, focusing on the quadriceps tendon graft. Compared to traditional patellar tendon (BTB) and hamstring grafts, the quadriceps tendon offers a thicker, more robust graft with less donor site morbidity and anterior knee pain. It allows predictable graft sizing, minimal soft tissue disruption, and balanced knee biomechanics. Studies show comparable or better outcomes and lower revision rates for quadriceps grafts versus hamstring and BTB grafts. Modern harvesting techniques now enable minimally invasive procedures. Overall, the quadriceps tendon is a reliable, strong alternative for ACL reconstruction with excellent functional results.

Asset Caption

Dr. Clayton W. Nuelle

Keywords

ACL reconstruction

quadriceps tendon graft

patellar tendon graft

hamstring graft

knee biomechanics