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Use of the quadriceps tendon usually does not result in the same degree of anterior knee pain postoperatively, and quadriceps tendon harvest produces a reliably thick, robust graft. The quadriceps tendon has approximately 20% greater collagen per cross-sectional area than the patellar tendon, and a greater diameter of usable soft tissue is ...
ACL reconstruction has long been thought to reduce risks of developing the condition, but more recent research shows that about 50% of patients who have surgery still develop it within 12 to 14 years.
ACL reconstruction surgery involves replacing the torn ACL with a "graft," which is a tendon taken from another source. Grafts can be taken from the patellar tendon, hamstring tendon, quadriceps tendon from either the person undergoing the procedure ("autograft") or a cadaver ("allograft").
Typically, four graft types are possible, the bone-patella tendon-bone graft, the semitendinosus and gracilis tendons (quadrupled hamstring tendon), quadriceps tendon, and an allograft. [14] Although extensive research has been conducted on which grafts are the best, the surgeon typically chooses the type of graft with which he or she is most ...
Hamstring tendon autograft; Quadriceps tendon autograft; Allograft (taken from a cadaver) patellar tendon, Achilles tendon, semitendinosus, gracilis, or posterior tibialis tendon; The goal of reconstruction surgery is to prevent instability and restore the function of the torn ligament, creating a stable knee.
ACL reconstruction is a commonly practiced technique for ACL injury, conducted on 30% of patients, which manages to restore stability to the knee structure. [2] [14] Traditional ACL reconstructions uses autografts or allografts which demand a long rehabilitation time and in most cases, develop donor morbidity in the long term. [11]
Most PLC injuries accompany an ACL or PCL tear, and can contribute to ACL or PCL reconstruction graft failure if not recognized and treated. [ 47 ] [ 48 ] A study by LaPrade et al. in 2007 showed the incidence of posterolateral knee injuries in patients presenting with acute knee injuries and hemarthrosis (blood in the knee joint) was 9.1%.
The preparation can be done while the other steps are being completed by another surgeon or physician's assistant. The semitendinosus tendon can be harvested using a hamstring stripper for use as the reconstruction autograft. [26] The autograft is sectioned into a 16-cm length for the sMCL reconstruction and 12-cm length for the POL reconstruction.