"The Superficial Quad Technique" for Medial Patellofemoral Ligament Reconstruction: The Surgical Video Technique

Arthroscopy Techniques
Deepak Goyal

Abstract

With the introduction of the superficial quad technique, there has been a recent revival of interest in the quadriceps tendon as a graft choice for medial patellofemoral ligament (MPFL) reconstruction. The superficial quad technique has many anatomic advantages because the length, breadth, and thickness of the graft are similar to those of the native MPFL; moreover, the graft provides a continuous patellar attachment at the superior half of the medial border of the patella. The technique requires neither a patellar bony procedure nor patellar hardware. Biomechanically, the mean strength and stiffness of the graft are very similar to those of the native MPFL. The anatomic and biomechanical advantages depend on correct identification of the anatomic superficial lamina of the quadriceps tendon; hence the correct harvesting technique for the superficial lamina is crucial. Various sub-techniques for harvesting the quadriceps graft have emerged recently, such as superficial strip, pedicled, or partial graft harvesting; these can create confusion for surgeons. Additional confusion related to the preparation and fixation of the graft should also be addressed to avoid any potential complications. A step-by-step video of the superficial ...Continue Reading

References

Mar 10, 2005·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Robert N SteensenPeter B Maurus
Aug 15, 2006·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Frank R Noyes, Jay C Albright
Mar 6, 2013·The American Journal of Sports Medicine·Deepak Goyal
Oct 1, 2013·The American Journal of Sports Medicine·Raju Vaishya

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Citations

Nov 13, 2017·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·John J EliasAndrew J Cosgarea
Apr 22, 2018·Current Reviews in Musculoskeletal Medicine·Christian FinkRobert Lawton

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Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association
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