Institute for Locomotion, Department of Orthopaedics and Traumatology, Aix Marseille University, APHM, CNRS, ISM, Sainte-Marguerite Hospital, Marseille, France.
Clinique du Parc Lyon, Groupe C2S, 155, Boulevard de Stalingrad, 69006 Lyon, France.
Orthop Traumatol Surg Res. 2021 Apr;107(2):102819. doi: 10.1016/j.otsr.2021.102819. Epub 2021 Jan 23.
The quadriceps tendon is gaining preference as an autograft over conventional grafts for the primary reconstruction of the anterior and posterior cruciate ligaments and of the medial patello-femoral ligament. In the past, the use of the quadriceps tendon was associated with considerable morbidity and less favourable outcomes compared to other grafts, specifically due to post-operative weakness of the quadriceps and other complications such as patellar fracture and rupture of the extensor apparatus. These problems are partially ascribable to the graft harvesting method used (large incision, bone block>2cm, and full-thickness tendon harvesting). Recent technical advancements have made reproducible harvesting of quadriceps grafts possible, thereby largely preventing the complications. In this study we describe an original quadriceps tendon harvesting technique in which a minimally invasive approach allows the collection of a sufficiently long graft, while sparing the deep layer of the quadriceps tendon. This technique decreases intra-operative morbidity and improves the post-operative outcomes.
股四头肌腱作为移植物在重建前交叉韧带、后交叉韧带和内侧髌股韧带方面越来越受到青睐，优于传统移植物。过去，与其他移植物相比，使用股四头肌腱会导致更高的发病率和更差的结果，特别是由于术后股四头肌无力以及其他并发症，如髌骨骨折和伸肌装置断裂。这些问题部分归因于所使用的移植物采集方法（大切口、骨块>2cm 和全厚肌腱采集）。最近的技术进步使得可重复采集股四头肌腱成为可能，从而在很大程度上预防了这些并发症。在本研究中，我们描述了一种原始的股四头肌腱采集技术，该技术采用微创方法可采集足够长的移植物，同时保留股四头肌腱的深层。该技术降低了术中发病率并改善了术后结果。
