Anterior Cruciate Ligament Revision Using Quadriceps Tendon Autograft and Lateral Extra-Articular Tenodesis

Revision of anterior cruciate ligament (ACL) reconstruction presents numerous challenges not encountered in the primary setting and therefore requires thorough preoperative planning. Addressing tunnel widening is the primary concern, and therefore the appropriate graft choice is pivotal. Quadriceps...

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Main Authors: Fabrizio Matassi, M.D., Jacopo Corti, M.D., Mattia Chirico, M.D., Piero Franco, M.D., Zyad Ayman Taha, M.D., Roberto Civinini, M.D.
Format: Article
Language:English
Published: Elsevier 2025-01-01
Series:Arthroscopy Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2212628724002962
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author Fabrizio Matassi, M.D.
Jacopo Corti, M.D.
Mattia Chirico, M.D.
Piero Franco, M.D.
Zyad Ayman Taha, M.D.
Roberto Civinini, M.D.
author_facet Fabrizio Matassi, M.D.
Jacopo Corti, M.D.
Mattia Chirico, M.D.
Piero Franco, M.D.
Zyad Ayman Taha, M.D.
Roberto Civinini, M.D.
author_sort Fabrizio Matassi, M.D.
collection DOAJ
description Revision of anterior cruciate ligament (ACL) reconstruction presents numerous challenges not encountered in the primary setting and therefore requires thorough preoperative planning. Addressing tunnel widening is the primary concern, and therefore the appropriate graft choice is pivotal. Quadriceps tendon autograft recently has gained popularity for its dimensions and the possibility to harvest a bone block from the patella that can fill potential tunnel bone defects. Adjunctive procedures to isolated ACL reconstruction such as lateral extra-articular tenodesis (LET) may help in sharing the loads with the neoligament, with recent findings recommending LET in the revision setting. The technique presented in this Technical Note describes a 1-stage revision ACL combined with LET using a quadriceps tendon autograft with a bone plug.
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publishDate 2025-01-01
publisher Elsevier
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series Arthroscopy Techniques
spelling doaj-art-a026f7e1d4a244218287c4058278ccfb2025-01-30T05:14:05ZengElsevierArthroscopy Techniques2212-62872025-01-01141103163Anterior Cruciate Ligament Revision Using Quadriceps Tendon Autograft and Lateral Extra-Articular TenodesisFabrizio Matassi, M.D.0Jacopo Corti, M.D.1Mattia Chirico, M.D.2Piero Franco, M.D.3Zyad Ayman Taha, M.D.4Roberto Civinini, M.D.5From the Università degli studi di Firenze – Careggi, Florence, ItalyAddress correspondence to Jacopo Corti, M.D., Università degli studi di Firenze-Careggi, Largo Piero Palagi 1, 50142 Florence, Italy.; From the Università degli studi di Firenze – Careggi, Florence, ItalyFrom the Università degli studi di Firenze – Careggi, Florence, ItalyFrom the Università degli studi di Firenze – Careggi, Florence, ItalyFrom the Università degli studi di Firenze – Careggi, Florence, ItalyFrom the Università degli studi di Firenze – Careggi, Florence, ItalyRevision of anterior cruciate ligament (ACL) reconstruction presents numerous challenges not encountered in the primary setting and therefore requires thorough preoperative planning. Addressing tunnel widening is the primary concern, and therefore the appropriate graft choice is pivotal. Quadriceps tendon autograft recently has gained popularity for its dimensions and the possibility to harvest a bone block from the patella that can fill potential tunnel bone defects. Adjunctive procedures to isolated ACL reconstruction such as lateral extra-articular tenodesis (LET) may help in sharing the loads with the neoligament, with recent findings recommending LET in the revision setting. The technique presented in this Technical Note describes a 1-stage revision ACL combined with LET using a quadriceps tendon autograft with a bone plug.http://www.sciencedirect.com/science/article/pii/S2212628724002962
spellingShingle Fabrizio Matassi, M.D.
Jacopo Corti, M.D.
Mattia Chirico, M.D.
Piero Franco, M.D.
Zyad Ayman Taha, M.D.
Roberto Civinini, M.D.
Anterior Cruciate Ligament Revision Using Quadriceps Tendon Autograft and Lateral Extra-Articular Tenodesis
Arthroscopy Techniques
title Anterior Cruciate Ligament Revision Using Quadriceps Tendon Autograft and Lateral Extra-Articular Tenodesis
title_full Anterior Cruciate Ligament Revision Using Quadriceps Tendon Autograft and Lateral Extra-Articular Tenodesis
title_fullStr Anterior Cruciate Ligament Revision Using Quadriceps Tendon Autograft and Lateral Extra-Articular Tenodesis
title_full_unstemmed Anterior Cruciate Ligament Revision Using Quadriceps Tendon Autograft and Lateral Extra-Articular Tenodesis
title_short Anterior Cruciate Ligament Revision Using Quadriceps Tendon Autograft and Lateral Extra-Articular Tenodesis
title_sort anterior cruciate ligament revision using quadriceps tendon autograft and lateral extra articular tenodesis
url http://www.sciencedirect.com/science/article/pii/S2212628724002962
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