AOSSM 2022 Annual Meeting Recordings - no CME-Quadriceps Autograft for ACL Reconstruction. When I Use it and How to Harvest it (5 video/5 talk)

Quadriceps Autograft for ACL Reconstruction. When I Use it and How to Harvest it (5 video/5 talk)

Video Transcription

Video Summary

In this video, the speaker discusses the use of quadriceps tendon autograft for ACL reconstructions. They highlight the importance of graft qualities such as biomechanical properties, minimal morbidity, low complication rates, safe use in open growth plates, timely graft maturation, and positive clinical outcomes. The quadriceps tendon autograft is found to have similar biomechanical properties to the native ACL and has shown better outcomes compared to other grafts in terms of pain, harvest site pain, numbness, isokinetic hamstring versus quad ratio, knee flexion strength, and analgesic requirements. The graft is also suitable for patients with open growth plates and has comparable outcomes to patellar tendon and hamstring grafts. The speaker recommends the use of quadriceps tendon autograft for female athletes, patients with anterior knee pain or patellar tendinopathy, older patients with open growth plates, and revision cases. However, they mention that there may be a higher risk of extension loss and emphasize close collaboration with physical therapists for optimal recovery. The video also briefly describes the technique of harvesting the graft and the fixation methods used. No specific credits are mentioned in the video.

Asset Caption

Robin West, MD

Keywords

quadriceps tendon autograft

ACL reconstructions

graft qualities

biomechanical properties

minimal morbidity