Marcaccio Stephen E, Morrissey Patrick J, Testa Edward J, Fadale Paul D
Department of Orthopedic Surgery, Warren Alpert Medical School of Brown University, Providence, Rhode Island.
JBJS Rev. 2023 Oct 9;11(10). doi: 10.2106/JBJS.RVW.23.00057. eCollection 2023 Oct 1.
» The quadriceps tendon (QT) autograft is becoming increasingly popular in both primary and revision anterior cruciate ligament reconstruction (ACLR).» The biomechanical properties of the QT are similar to those of the native ACL, the hamstring tendon (HT), and bone-patellar tendon-bone (BTB) autografts.» QT autograft allows surgeons to be flexible with their graft size and reconstruction technique.» The QT autograft performs in a similar fashion to the BTB and HT autografts, with excellent patient-reported outcomes, consistent postoperative knee stability, and low rates of postoperative complications including graft failure and donor site morbidity.» There are emerging data that the QT autograft is a viable option in revision ACLR.
在初次和翻修前交叉韧带重建（ACLR）中，股四头肌肌腱（QT）自体移植越来越受欢迎。QT的生物力学特性与天然前交叉韧带（ACL）、腘绳肌腱（HT）和骨-髌腱-骨（BTB）自体移植相似。QT自体移植使外科医生在移植物大小和重建技术方面具有灵活性。QT自体移植的表现与BTB和HT自体移植相似，患者报告的结果良好，术后膝关节稳定性一致，术后并发症发生率低，包括移植物失败和供区并发症。有新数据表明，QT自体移植在翻修ACLR中是一种可行的选择。
