Quadriceps Tendon

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Craig L Israelite - One of the best experts on this subject based on the ideXlab platform.

  • suture anchor repair of Quadriceps Tendon rupture after total knee arthroplasty
    Journal of Arthroplasty, 2011
    Co-Authors: Tae Won B Kim, Atul F Kamath, Craig L Israelite
    Abstract:

    Disruption of the extensor mechanism after total knee arthroplasty (TKA) is a devastating complication, usually requiring surgical repair. Although suture anchor fixation is well described for repair of the ruptured native knee Quadriceps Tendon, no study has discussed the use of suture anchors in Quadriceps repair after TKA. We present an illustrative case of successful suture anchor fixation of the Quadriceps mechanism after TKA. The procedure has been performed in a total of 3 patients. A surgical technique and brief review of the literature follows. Suture anchor fixation of the Quadriceps Tendon is a viable option in the setting of rupture after TKA.

Tae Won B Kim - One of the best experts on this subject based on the ideXlab platform.

  • suture anchor repair of Quadriceps Tendon rupture after total knee arthroplasty
    Journal of Arthroplasty, 2011
    Co-Authors: Tae Won B Kim, Atul F Kamath, Craig L Israelite
    Abstract:

    Disruption of the extensor mechanism after total knee arthroplasty (TKA) is a devastating complication, usually requiring surgical repair. Although suture anchor fixation is well described for repair of the ruptured native knee Quadriceps Tendon, no study has discussed the use of suture anchors in Quadriceps repair after TKA. We present an illustrative case of successful suture anchor fixation of the Quadriceps mechanism after TKA. The procedure has been performed in a total of 3 patients. A surgical technique and brief review of the literature follows. Suture anchor fixation of the Quadriceps Tendon is a viable option in the setting of rupture after TKA.

John W Xerogeanes - One of the best experts on this subject based on the ideXlab platform.

  • Quadriceps Tendon autograft for arthroscopic knee ligament reconstruction: use it now, use it often
    British Journal of Sports Medicine, 2018
    Co-Authors: Andrew J. Sheean, Christian Fink, Volker Musahl, Harris S. Slone, John W Xerogeanes, Danko Milinkovic, Christian Hoser
    Abstract:

    Traditional bone-patellar Tendon-bone and hamstring Tendon ACL grafts are not without limitations. A growing body of anatomic, biomechanical and clinical data has demonstrated the utility of Quadriceps Tendon autograft in arthroscopic knee ligament reconstruction. The Quadriceps Tendon autograft provides a robust volume of tissue that can be reliably harvested, mitigating the likelihood of variably sized grafts and obviating the necessity of allograft augmentation. Modern, minimally invasive harvest techniques offer the advantages of low rates of donor site morbidity and residual extensor mechanism strength deficits. New data suggest that Quadriceps Tendon autograft may possess superior biomechanical characteristics when compared with bone-patella Tendon-bone (BPTB) autograft. However, there have been very few direct, prospective comparisons between the clinical outcomes associated with Quadriceps Tendon autograft and other autograft options (eg, hamstring Tendon and bone-patellar Tendon-bone). Nevertheless, Quadriceps Tendon autograft should be one of the primary options in any knee surgeon’s armamentarium.

  • minimally invasive Quadriceps Tendon harvest and graft preparation for all inside anterior cruciate ligament reconstruction
    Arthroscopy techniques, 2016
    Co-Authors: Harris S. Slone, William B Ashford, John W Xerogeanes
    Abstract:

    The Quadriceps Tendon is an infrequently used graft option for anterior cruciate ligament reconstruction despite favorable clinical results in the literature with low donor site morbidity. It is a versatile graft that can be harvested with bone or as a soft tissue graft alone. In addition, it can be used for anatomic, double-bundle, transtibial, and all-inside reconstructions. The unique characteristics of the Quadriceps Tendon allow for the ability to harvest a single-bundle large-diameter graft and minimize disruption of normal anatomy, which makes the Quadriceps Tendon an excellent choice for all-inside techniques. Recently developed minimally invasive harvest techniques described in this note allow for a reproducible predictable and efficient harvest through a small incision.

  • Quadriceps Tendon autograft for anterior cruciate ligament reconstruction a comprehensive review of current literature and systematic review of clinical results
    Arthroscopy, 2015
    Co-Authors: Harris S. Slone, Spencer E Romine, Ajay Premkumar, John W Xerogeanes
    Abstract:

    Purpose The autograft of choice for anterior cruciate ligament (ACL) reconstruction remains controversial. Recently, there has been an increase in interest in the Quadriceps Tendon as an autologous graft option for ACL reconstruction. The purposes of this study were to provide an in-depth review of Quadriceps Tendon anatomy, histology, and biomechanics and to synthesize reported clinical outcomes of ACL reconstructions using Quadriceps Tendon autografts. We hypothesize that (1) published studies on the anatomic, histologic, and biomechanical data regarding the Quadriceps Tendon support its use as a graft option for ACL reconstruction and (2) clinical outcomes of ACL reconstruction using Quadriceps Tendon autograft have similar clinical outcomes to bone–patellar Tendon–bone autografts with less donor-site morbidity. Methods We performed a comprehensive review of the literature regarding the anatomy, histology, and biomechanical studies of the Quadriceps Tendon, as well as a systematic review of clinical studies (Level of Evidence I-III) evaluating outcomes after ACL reconstruction using Quadriceps Tendon autograft. Stability outcomes, functional outcomes, range of motion, patient satisfaction, morbidity, and complications were comprised. Results Fourteen studies were included in the review of clinical results, including 1,154 ACL reconstructions with Quadriceps Tendon autograft. Six studies directly compared Quadriceps Tendon autografts (n = 383) with bone–patellar Tendon–bone autografts (n = 484). Stability outcomes (Lachman, pivot-shift, and instrumented laxity testing), functional outcomes (International Knee Documentation Committee and Lysholm scores), overall patient satisfaction, range of motion, and complications were similar between Quadriceps Tendon and other graft options. Less donor-site morbidity was seen in patients who underwent Quadriceps Tendon ACL reconstructions. Conclusions Use of the Quadriceps Tendon autograft for ACL reconstruction is supported by current orthopaedic literature. It is a safe, reproducible, and versatile graft that should be considered in future studies of ACL reconstruction. Level of Evidence Level III, systematic review of Level I, II, and III studies.

Atul F Kamath - One of the best experts on this subject based on the ideXlab platform.

  • suture anchor repair of Quadriceps Tendon rupture after total knee arthroplasty
    Journal of Arthroplasty, 2011
    Co-Authors: Tae Won B Kim, Atul F Kamath, Craig L Israelite
    Abstract:

    Disruption of the extensor mechanism after total knee arthroplasty (TKA) is a devastating complication, usually requiring surgical repair. Although suture anchor fixation is well described for repair of the ruptured native knee Quadriceps Tendon, no study has discussed the use of suture anchors in Quadriceps repair after TKA. We present an illustrative case of successful suture anchor fixation of the Quadriceps mechanism after TKA. The procedure has been performed in a total of 3 patients. A surgical technique and brief review of the literature follows. Suture anchor fixation of the Quadriceps Tendon is a viable option in the setting of rupture after TKA.

Harris S. Slone - One of the best experts on this subject based on the ideXlab platform.

  • Quadriceps Tendon autograft for arthroscopic knee ligament reconstruction: use it now, use it often
    British Journal of Sports Medicine, 2018
    Co-Authors: Andrew J. Sheean, Christian Fink, Volker Musahl, Harris S. Slone, John W Xerogeanes, Danko Milinkovic, Christian Hoser
    Abstract:

    Traditional bone-patellar Tendon-bone and hamstring Tendon ACL grafts are not without limitations. A growing body of anatomic, biomechanical and clinical data has demonstrated the utility of Quadriceps Tendon autograft in arthroscopic knee ligament reconstruction. The Quadriceps Tendon autograft provides a robust volume of tissue that can be reliably harvested, mitigating the likelihood of variably sized grafts and obviating the necessity of allograft augmentation. Modern, minimally invasive harvest techniques offer the advantages of low rates of donor site morbidity and residual extensor mechanism strength deficits. New data suggest that Quadriceps Tendon autograft may possess superior biomechanical characteristics when compared with bone-patella Tendon-bone (BPTB) autograft. However, there have been very few direct, prospective comparisons between the clinical outcomes associated with Quadriceps Tendon autograft and other autograft options (eg, hamstring Tendon and bone-patellar Tendon-bone). Nevertheless, Quadriceps Tendon autograft should be one of the primary options in any knee surgeon’s armamentarium.

  • minimally invasive Quadriceps Tendon harvest and graft preparation for all inside anterior cruciate ligament reconstruction
    Arthroscopy techniques, 2016
    Co-Authors: Harris S. Slone, William B Ashford, John W Xerogeanes
    Abstract:

    The Quadriceps Tendon is an infrequently used graft option for anterior cruciate ligament reconstruction despite favorable clinical results in the literature with low donor site morbidity. It is a versatile graft that can be harvested with bone or as a soft tissue graft alone. In addition, it can be used for anatomic, double-bundle, transtibial, and all-inside reconstructions. The unique characteristics of the Quadriceps Tendon allow for the ability to harvest a single-bundle large-diameter graft and minimize disruption of normal anatomy, which makes the Quadriceps Tendon an excellent choice for all-inside techniques. Recently developed minimally invasive harvest techniques described in this note allow for a reproducible predictable and efficient harvest through a small incision.

  • Quadriceps Tendon autograft for anterior cruciate ligament reconstruction a comprehensive review of current literature and systematic review of clinical results
    Arthroscopy, 2015
    Co-Authors: Harris S. Slone, Spencer E Romine, Ajay Premkumar, John W Xerogeanes
    Abstract:

    Purpose The autograft of choice for anterior cruciate ligament (ACL) reconstruction remains controversial. Recently, there has been an increase in interest in the Quadriceps Tendon as an autologous graft option for ACL reconstruction. The purposes of this study were to provide an in-depth review of Quadriceps Tendon anatomy, histology, and biomechanics and to synthesize reported clinical outcomes of ACL reconstructions using Quadriceps Tendon autografts. We hypothesize that (1) published studies on the anatomic, histologic, and biomechanical data regarding the Quadriceps Tendon support its use as a graft option for ACL reconstruction and (2) clinical outcomes of ACL reconstruction using Quadriceps Tendon autograft have similar clinical outcomes to bone–patellar Tendon–bone autografts with less donor-site morbidity. Methods We performed a comprehensive review of the literature regarding the anatomy, histology, and biomechanical studies of the Quadriceps Tendon, as well as a systematic review of clinical studies (Level of Evidence I-III) evaluating outcomes after ACL reconstruction using Quadriceps Tendon autograft. Stability outcomes, functional outcomes, range of motion, patient satisfaction, morbidity, and complications were comprised. Results Fourteen studies were included in the review of clinical results, including 1,154 ACL reconstructions with Quadriceps Tendon autograft. Six studies directly compared Quadriceps Tendon autografts (n = 383) with bone–patellar Tendon–bone autografts (n = 484). Stability outcomes (Lachman, pivot-shift, and instrumented laxity testing), functional outcomes (International Knee Documentation Committee and Lysholm scores), overall patient satisfaction, range of motion, and complications were similar between Quadriceps Tendon and other graft options. Less donor-site morbidity was seen in patients who underwent Quadriceps Tendon ACL reconstructions. Conclusions Use of the Quadriceps Tendon autograft for ACL reconstruction is supported by current orthopaedic literature. It is a safe, reproducible, and versatile graft that should be considered in future studies of ACL reconstruction. Level of Evidence Level III, systematic review of Level I, II, and III studies.