Quad Tendon Graft ACL Reconstruction

Quadriceps tendon grafts offer unique benefits for cruciate ligament reconstruction, such as a predictably large diameter, low morbidity,1 and a preferable stiffness profile for knee ligament reconstruction.

The QuadPro™ tendon harvester is designed to safely, easily, and quickly harvest a quadriceps or patellar tendon graft using a minimally invasive technique.2-4 The sharp tip cores out an approximate cylindrical graft. Its ergonomically designed handle features graduations on the clear shaft to allow visualization of approximate graft length during harvesting. Available in four sizes (8 mm to 11 mm), the QuadPro tendon harvester can accommodate each patient’s unique needs as well as the surgeon’s preference for graft diameter.

The FiberTag® TightRope® implant facilitates attachment of single-ended grafts, such as quad tendon grafts, to the ACL TightRope RT and ABS implants. FiberTag suture is integrated into the TightRope implant for a strong, consistent connection between the suture and TightRope loop. A simplified suturing technique, along with innovative packaging and the new GraftClamp graft preparation instrument, make preparing quadriceps tendon grafts faster and more reproducible than ever.

References

1. Arthrex, Inc. LA1-00100-EN_K. Naples, FL; 2021.

2. Xerogeanes JW, Mitchell PM, Karasev PA, Kolesov IA, Romine SE. Anatomic and morphological evaluation of the quadriceps tendon using 3-dimensional magnetic resonance imaging reconstruction: applications for anterior cruciate ligament autograft choice and procurement. Am J Sports Med. 2013;41(10):2392-2399. doi:10.1177/0363546513496626

3. Hadjicostas PT, Soucacos PN, Berger I, Koleganova N, Paessler HH. Comparative analysis of the morphologic structure of quadriceps and patellar tendon: a descriptive laboratory study. Arthroscopy. 2007;23(7):744-750. doi:10.1016/j.arthro.2007.01.032

4. Krebs N, Yaish A, O’Neill N. Anatomic evaluation of the quadriceps tendon in cadaveric specimens: application for anterior cruciate ligament reconstruction graft choice. SMRJ. 2019;4(1):7961. doi:10.51894/001c.7961

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Quadriceps tendon grafts offer unique benefits for cruciate ligament reconstruction, such as a predictably large diameter, low morbidity,1 and a preferable stiffness profile for knee ligament reconstruction.

The QuadPro™ tendon harvester is designed to safely, easily, and quickly harvest a quadriceps or patellar tendon graft using a minimally invasive technique.2-4 The sharp tip cores out an approximate cylindrical graft. Its ergonomically designed handle features graduations on the clear shaft to allow visualization of approximate graft length during harvesting. Available in four sizes (8 mm to 11 mm), the QuadPro tendon harvester can accommodate each patient’s unique needs as well as the surgeon’s preference for graft diameter.

The FiberTag® TightRope® implant facilitates attachment of single-ended grafts, such as quad tendon grafts, to the ACL TightRope RT and ABS implants. FiberTag suture is integrated into the TightRope implant for a strong, consistent connection between the suture and TightRope loop. A simplified suturing technique, along with innovative packaging and the new GraftClamp graft preparation instrument, make preparing quadriceps tendon grafts faster and more reproducible than ever.

References

1. Arthrex, Inc. LA1-00100-EN_K. Naples, FL; 2021.

2. Xerogeanes JW, Mitchell PM, Karasev PA, Kolesov IA, Romine SE. Anatomic and morphological evaluation of the quadriceps tendon using 3-dimensional magnetic resonance imaging reconstruction: applications for anterior cruciate ligament autograft choice and procurement. Am J Sports Med. 2013;41(10):2392-2399. doi:10.1177/0363546513496626

3. Hadjicostas PT, Soucacos PN, Berger I, Koleganova N, Paessler HH. Comparative analysis of the morphologic structure of quadriceps and patellar tendon: a descriptive laboratory study. Arthroscopy. 2007;23(7):744-750. doi:10.1016/j.arthro.2007.01.032

4. Krebs N, Yaish A, O’Neill N. Anatomic evaluation of the quadriceps tendon in cadaveric specimens: application for anterior cruciate ligament reconstruction graft choice. SMRJ. 2019;4(1):7961. doi:10.51894/001c.7961

View More
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Educational Resources and Products

QuadPro™ Tendon Harvester Graft Harvesting System

Surgical Technique Animations | 04:19 | English | 03/03/2022 | AN1-000082-en-US C

QuadLink™ ACL Reconstruction Using the QuadPro™ Harvester and FiberTag® TightRope® Implants

John W. Xerogeanes, MD
Surgical Technique Videos | 25:22 | English | 04/30/2021 | VID1-002245-en-US A
QuadPro™ Tendon Harvester Surgical Technique
Surgical Technique Guides | English | 02/10/2022 | LT1-000052-en-US D
FiberTag® TightRope® Graft Preparation
Surgical Technique Animations | 02:35 | English | 11/21/2019 | AN1-000009-en-US B
QuadLink™ ACL Reconstruction Using FiberTag® TightRope® Implant and FlipCutter® III Drill
Jason M. Scopp, MD
Case Presentation Videos | 02:54 | English | 09/09/2020 | VID1-000872-en-US C
QuadLink™ Graft Preparation With the FiberTag® TightRope® Implant
Surgical Technique Guides | English | 01/27/2022 | LT1-000010-en-US D
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Surgical Technique Videos (6)

QuadLink™ ACL Reconstruction Using the QuadPro™ Harvester and FiberTag® TightRope® Implants
John W. Xerogeanes, MD
25:22 | English | 04/30/2021 | VID1-002245-en-US A
Quad Tendon Graft Preparation Using the FiberTag® TightRope® Implant
John W. Xerogeanes, MD
06:38 | English | 11/26/2019 | VID1-000368-en-US B
Minimally Invasive Quadriceps Tendon Harvest for ACL Reconstruction
John W. Xerogeanes, MD
07:50 | English | 10/05/2018 | VID1-01274-EN A
Minimally Invasive Bone Quad Tendon (BQT) Graft Harvest for All-Inside ACL Reconstruction
Jason M. Scopp, MD
20:24 | English | 03/14/2018 | VID1-01276-EN A
Quad Tendon Harvest with Patella Bone Block
Jason M. Scopp, MD
12:25 | English | 02/02/2017 | VID1-00932-EN A

Surgical Technique Animations (2)

QuadPro™ Tendon Harvester Graft Harvesting System
04:19 | English | 03/03/2022 | AN1-000082-en-US C
FiberTag® TightRope® Graft Preparation
02:35 | English | 11/21/2019 | AN1-000009-en-US B

Surgical Technique Guides (5)

Brochures (2)

GraftPro® Graft Preparation System
English | 08/20/2020 | LB1-00043-EN D
TightRope® Attachable Button System
English | 08/29/2018 | LB1-00056-EN C

Case Presentation Videos (4)

My “Alternative” Graft of Choice
Walter Lowe, MD
06:07 | English | 11/23/2021 | VID1-002889-en-US A
ACL Reconstruction: What Is My Graft of Choice?
Rachel M. Frank, MD
12:53 | English | 11/22/2021 | VID1-002890-en-US A
Improving Outcomes Through Biologic ACL Augmentation
Chad Lavender, MD
09:59 | English | 11/22/2021 | VID1-002883-en-US A
QuadLink™ ACL Reconstruction Using FiberTag® TightRope® Implant and FlipCutter® III Drill
Jason M. Scopp, MD
02:54 | English | 09/09/2020 | VID1-000872-en-US C

Orthopedia.com Video Links (1)

OTIF: Quad Tendon ACL Graft—A Decade of Experience
English | 02/21/2022 | LINK_VID1-003215-en-US A

Presentation Videos (3)

ACL Quad Graft: Retrospective Review of 1300 Procedures
John W. Xerogeanes, MD
08:47 | English | 10/21/2021 | VID1-002876-en-US A
Extensor Mechanism Trauma
James M. Paci, MD
09:28 | English | 05/19/2020 | VID1-000948-en-US A
Second Look: Bone Quad Tendon (BQT) QuadLink™
Jason M. Scopp, MD
05:36 | English | 10/05/2018 | VPT1-01104-EN A

Product and Technique Highlights (3)

Knee Arthroscopy New Product & Technique Highlights
English | 04/21/2022 | evBR1-002467-en-US B
FiberTag® TightRope® Implant
English | 11/22/2021 | DOC1-000529-en-US B
QuadPro™ Tendon Harvester
English | 08/17/2021 | DOC1-000528-en-US A

Scientific Updates (1)

Tray Lists (1)

Minimally Invasive Quad Tendon Set (AR-2382S)
English | 03/27/2019 | DOC1-000036-en-US A

White Papers (1)


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