Minimally Invasive Harvesting of Triple-Fold Superficial Layer Quadriceps Autograft for Knee Ligament Reconstruction

Napatpong Thamrongskulsiri; Danaithep Limskul; Thanathep Tanpowpong; Somsak Kuptniratsaikul; Thun Itthipanichpong

doi:10.1016/j.eats.2023.07.051

Minimally Invasive Harvesting of Triple-Fold Superficial Layer Quadriceps Autograft for Knee Ligament Reconstruction

Arthrosc Tech. 2023 Nov 13;12(12):e2239-e2246. doi: 10.1016/j.eats.2023.07.051. eCollection 2023 Dec.

Authors

Napatpong Thamrongskulsiri¹, Danaithep Limskul², Thanathep Tanpowpong², Somsak Kuptniratsaikul², Thun Itthipanichpong²

Affiliations

¹ Department of Anatomy, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
² Department of Orthopaedics, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, The Thai Red Cross Society, Bangkok, Thailand.

Abstract

Graft selection plays a critical role in anterior cruciate ligament reconstruction. Autograft options, including hamstrings, bone-patellar tendon-bone, and quadriceps, offer distinct advantages and disadvantages. Soft tissue quadriceps tendon autografts are increasingly favored due to their strength, size compatibility, and potential for enhanced graft healing. This technique offers minimal skin incision, a longer graft, and reduced morbidity, as it specifically targets the superficial band of the quadriceps tendon.