AJSM Webinar Series - December 2022: Quadriceps Tendon Autograft ACL Reconstruction – Global Perspectives-AJSM Webinar Series - December 2022: Quadriceps Tendon Autograft ACL Reconstruction

Video Transcription

Video Summary

In this video, a panel of experts discusses the use of the quadriceps tendon autograft for ACL reconstruction. The panel consists of Dr. Martin Lind, Dr. Peter McDonald, Volker Musall, and Dr. Christian Fink, with moderator Dr. David Wasserstein. They highlight that the quadriceps tendon autograft is often used for athletes in contact sports due to its strength and preservation of hamstring function. The panel acknowledges the uncertainty surrounding the best formulation and fixation techniques and how to minimize quad muscle strength loss.<br /><br />The experts note that the quadriceps tendon autograft carries a lower risk of anterior knee pain compared to the patellar tendon and hamstring autografts. It is also associated with similar failure rates as the patellar tendon autograft and lower failure rates than the hamstring autograft. However, patients may experience quad lag and slow activation of the quadriceps in the early recovery period.<br /><br />Rehabilitation emphasizing early quad activation and extension is crucial, and fixation methods are discussed, including suspensory fixation on the femur and screw fixation on the tibia, with variations between panel members.<br /><br />The video further delves into topics such as harvesting techniques, the use of a bone block with the quadriceps tendon, and comparisons between the sizes of different graft types. Registry data from Denmark showing higher revision rates for quadriceps tendon grafts is discussed, but it is noted that this may be due to lower volume centers.<br /><br />A meta-analysis of multiple studies indicates no significant differences between quadriceps tendon grafts and other graft types in terms of failure rates and patient-reported outcomes. The panel concludes that the quadriceps tendon autograft is a safe and effective option with reduced donor site morbidity.<br /><br />The possibility of using the quadriceps tendon for double bundle reconstruction and similar return to sport criteria for all graft types are also mentioned.<br /><br />Credits: The webinar is hosted by the American Journal of Sports Medicine in conjunction with the American Orthopedic Society for Sports Medicine. Dr. David Wasserstein moderates the panel of experts: Dr. Martin Lind, Dr. Peter McDonald, Volker Musall, and Dr. Christian Fink.

Keywords

quadriceps tendon autograft

ACL reconstruction

panel of experts

contact sports

hamstring function

anterior knee pain

failure rates

quad lag

rehabilitation

fixation methods

harvesting techniques