Quadriceps Tendon Autograft in Anterior Cruciate Ligament Reconstruction: A literature Review

Abstract

Introduction: Reconstruction of Anterior Cruciate Ligament (RACL) is a procedure to restore stability to the knee thereby protecting against the risk of damage to the meniscus and cartilage that can lead to early knee osteoarthritis. There are three popular autografts in RACL, namely Bone patellar tendon bone (BPTB), Hamstring tendon (HT), and Quadriceps tendon (QT). BPTB is the first choice in RACL, especially for professional athletes and high demand patient, while in Asian populations, HT is the most popular RACL. In Indonesia, Quadriceps tendon is less popular graft, but the use of the quadriceps tendon autograft (QTA) for RACL has received increased attention in recent times. The purpose of this review is to impart knowledge that QT actually is a suitable graft with some advantages for RACL procedure Method: This is a review article using relevant literature collected from literature searches in PubMed, reference lists in existing reviews and papers, and conference presentations on the main topic of Quadriceps Tendon Autograft and Cruciate Ligament Reconstruction. We present profile of the graft, Patient Reported Outcome, Clinical Outcome, and complication Results: we found there are similar functional results between QT and BPTB and HT in regard of post ACL stability, Range of motion, Patient Reported Outcome Measures, flexion and extension strength, graft rupture, and donor site morbidity. QT also is a versatile graft, providing many options for operators Conclusion: QT should be a good alternative graft for RACL in Indonesia