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Arthroscopic anterior cruciate ligament reconstruction with quadriceps tendon composite autograft
Affiliation:1. Annette C. and Harold C. Simmons Transplant Institute, Baylor University Medical Center, 3410 Worth Street, Suite 860, Dallas, TX 75246, USA;2. Department of Internal Medicine, Medical University of South Carolina, 96 Jonathan Lucas Street, Room 803 CSB, Charleston, SC 29425, USA;1. Department of Orthopaedics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China;2. Valeo Foshan Technical Center, Foshan, China;1. Hip & Knee Unit, Mediterraneo Hospital, 10 Ilias Street, Glyfada, Athens 16675, Greece;2. Orthopaedic Department, Lyon-Ortho-Clinic, Clinique de la Sauvegarde, Avenue Ben Gourion, Lyon 69009, France;2. Trauma Department, Hannover Medical School (MHH), Hannover, Germany;3. Department of Orthopaedic Surgery, Kerlan Jobe Orthopaedic Clinic, Los Angeles, CA;4. Department of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, PA
Abstract:At present, no single graft option clearly outperforms another. Autografts (patellar tendon, hamstring) and allografts (Achilles tendon, patellar tendon) are the grafts most often used. However, each grafts has advantages and disadvantages. Quadriceps tendon graft for anterior cruciate ligament reconstruction is not new, but an alternative composite graft is introduced here that consists of quadriceps tendon–patellar bone and bone obtained from a coring reamer used to create the tibial tunnel. This composite graft retains reduced morbidity while allowing the secure bone-to-bone fixation associated with bone–patellar tendon–bone graft.Arthroscopy: The Journal of Arthroscopic and Related Surgery, Vol 17, No 5 (May-June), 2001: pp 546–550
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