Optimizing ACL Reconstruction in 2022: A Case-Based Approach (AANA22)-Quadriceps Autograft is Reliable and Reproducible

Quadriceps Autograft is Reliable and Reproducible

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Video Summary

This presentation discusses the use of quadriceps (quad) autograft for ACL reconstruction, highlighting its reliability and reproducibility. Quad autograft offers advantages like strong graft strength, minimal donor site pain, and suitability for primary or revision surgery. Historically, techniques evolved from extensive quadriceps harvests to minimally invasive soft tissue grafts, reducing complications such as patella fractures. Anatomically, the quad tendon is robust and well-vascularized, making it an excellent graft source. Biomechanical and clinical studies show quad autografts have outcomes comparable or superior to patellar tendon or hamstring grafts, with less donor site morbidity. The technique encourages wider adoption in ACL repair.

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Mary K. Mulcahey, M.D.

Keywords

quadriceps autograft

ACL reconstruction

graft strength

donor site morbidity

minimally invasive technique