Fink Christian, Herbort Mirco, Abermann Elisabeth, Hoser Christian
Sportsclinic Austria, Innsbruck, Austria.
Department of Trauma, Hand and Reconstructive Surgery, Westfaelian-Wilhelms University of Münster, Münster, Germany.
Arthrosc Tech. 2014 Aug 11;3(4):e509-13. doi: 10.1016/j.eats.2014.06.003. eCollection 2014 Aug.
The quadriceps tendon (QT) as a graft source for anterior cruciate ligament (ACL) and posterior cruciate ligament reconstruction has recently achieved increased attention. Although many knee surgeons have been using the QT as a graft for ACL revision surgery, it has never gained universal acceptance for primary ACL reconstruction. The QT is a very versatile graft that can be harvested in different widths, thicknesses, and lengths. Conventionally, the QT graft is harvested by an open technique, requiring a 6 to 8 cm longitudinal incision, which often leads to unpleasant scars. We describe a new, minimally invasive, standardized approach in which the QT graft can be harvested through a 2- to 3-cm skin incision and a new option of using the graft without a bone block.
作为前交叉韧带（ACL）和后交叉韧带重建的移植物来源，股四头肌肌腱（QT）近来受到了更多关注。尽管许多膝关节外科医生已将QT用作ACL翻修手术的移植物，但它从未在初次ACL重建中获得广泛认可。QT是一种非常通用的移植物，可以获取不同的宽度、厚度和长度。传统上，QT移植物是通过开放技术获取的，需要一个6至8厘米的纵向切口，这常常会导致令人不悦的疤痕。我们描述了一种新的、微创的标准化方法，通过该方法可以经2至3厘米的皮肤切口获取QT移植物，并且介绍了一种不使用骨块使用移植物的新选择。
