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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2022; 57(01): 180-184
DOI: 10.1055/s-0041-1726069
Nota Técnica
Joelho

Quadricipital Tendon: Option in Knee Ligament Reconstruction

Article in several languages: português | English
Edmar Stieven Filho 
1   Departamento de Ortopedia e Traumatologia, Universidade Federal do Paraná, Curitiba, PR, Brasil
,
Maisa Sayuri Namba 
2   Departamento de Ortopedia e Traumatologia, Complexo Hospitalar do Trabalhador, Curitiba, PR, Brasil
,
Isabela do Prado Nascimento 
3   Departamento de Medicina, Universidade Federal do Paraná, Curitiba, PR, Brasil
,
Fernando Martins Rosa 
4   Departamento de Cirurgia, Universidade Federal do Paraná, Curitiba, PR, Brasil
,
Mario Massatomo Namba 
5   Hospital de Clínicas, Universidade Federal do Paraná, Curitiba, PR, Brasil
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Abstract

Although it is a versatile tendon, only 1% of surgeons choose to use the quadricipital tendon as a graft in anterior cruciate ligament (ACL) reconstruction. The present article aims to describe a quadricipital graft removal technique in which its deepest part is maintained. The technique consists of an approach in which the first incision is made in the medial part of the quadricipital tendon to prevent it from getting too short. This is due to its triangular design. The technique also addresses the depth and identification of the three layers of the quadricipital tendon so that it is possible to preserve its deepest part. This approach aims to preserve the extensor apparatus and to not communicate it with the joint environment, avoiding fluid extravasation both in the trans and postoperative periods.

Keywords

grafts - orthopedics - anterior cruciate ligament

Work developed in the Department of Surgery - Orthopedics and Traumatology, Universidade Federal do Paraná, Curitiba, PR, Brazil.




Publication History

Received: 17 August 2020

Accepted: 01 December 2020

Article published online:
13 August 2021

© 2021. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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