Abstract
We describe a technique for arthroscopic anterior cruciate ligament (ACL) reconstruction
using the middle third of the quadriceps tendon without a patellar bone block and
absorbable tibial and femoral cross-pin fixation. The central part of the quadriceps
tendon is harvested through a 5-cm long anterior skin incision without a patellar
bone block. Tibial and femoral tunnels are prepared, the graft is passed up the tunnels,
and is fixed both in the femur and the tibia using absorbable cross pins (Rigid Fix;
Mitek, Johnson & Johnson, Norwood, MA). In this way, the graft is stabilized near
the joint line, providing outlet fixation. In our practice, very good results have
been obtained with the use of this technique.
Key Words
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References
- The incidence and outcome of patella fractures after anterior cruciate ligament reconstruction.Arthroscopy. 2002; 18: 578-583
- Patellofemoral problems after anterior cruciate ligament reconstruction.Am J Sports Med. 1989; 17: 760-765
- Donor-site morbidity and anterior knee problems after anterior cruciate ligament reconstruction using autografts.Arthroscopy. 2001; 17: 971-980
- An alternative cruciate reconstruction graft.Arthroscopy. 1995; 11: 252-254
- Anterior cruciate ligament reconstruction using quadriceps patellar tendon graft, Part I.Am J Sports Med. 1991; 19: 447-457
- ACL reconstruction using a central quadriceps free tendon graft and cross-pin fixation.in: New techniques in knee surgery. Steinkopff Verlag Springer, Darmstadt2003: 39-44
- Double tibial tunnel using quadriceps tendon in anterior cruciate ligament reconstruction.Arthroscopy. 2000; 16 (www.arthroscopyjournal.org): E9
- Arthroscopic anterior cruciate ligament reconstruction with quadriceps tendon–patellar bone autograft.J Trauma. 1999; 46: 678-682
- A five-year comparison of patellar tendon versus four-strand hamstring tendon autograft for arthroscopic reconstruction of the anterior cruciate ligament.Am J Sports Med. 2002; 30: 523-536
- Reconstruction of the anterior cruciate ligament with quadriceps tendon.Arthroscopy. 2002; 18 (www.arthroscopyjournal.org): E37
- Mechanical tensile properties of the quadriceps tendon and patellar ligament in young adults.Am J Sports Med. 1999; 27: 27-34
- Cross-pin femoral fixation.Arthroscopy. 1998; 14: 258-267
- Foreign body gonitis caused by a broken poly-L-lactide acid screw.Arthroscopy. 1998; 14: 329-330
- The fixation strength of six hamstring tendon graft fixation devices in anterior cruciate ligament reconstruction.Am J Sports Med. 2003; 31: 174-181
- Primary stability of bone–patellar tendon–bone graft fixation with biodegradable pins.Arthroscopy. 2003; 19: 1097-1102
Article info
Footnotes
Cite this article as: Antonogiannakis E, Yiannakopoulos CK, Hiotis I, Karabalis C, Babalis G. Arthroscopic anterior cruciate ligament reconstruction using quadriceps tendon autograft and bioabsorbable cross-pin fixation. Arthroscopy 2005;21:894.e1-894.e5 [doi:10.1016/j.arthro.2005.04.099].
Identification
Copyright
© 2005 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.