PT - JOURNAL ARTICLE AU - Sheean, Andrew J AU - Musahl, Volker AU - Slone, Harris S AU - Xerogeanes, John W AU - Milinkovic, Danko AU - Fink, Christian AU - Hoser, Christian ED - TI - Quadriceps tendon autograft for arthroscopic knee ligament reconstruction: use it now, use it often AID - 10.1136/bjsports-2017-098769 DP - 2018 Jun 01 TA - British Journal of Sports Medicine PG - 698--701 VI - 52 IP - 11 4099 - http://bjsm.bmj.com/content/52/11/698.short 4100 - http://bjsm.bmj.com/content/52/11/698.full SO - Br J Sports Med2018 Jun 01; 52 AB - Traditional bone-patellar tendon-bone and hamstring tendon ACL grafts are not without limitations. A growing body of anatomic, biomechanical and clinical data has demonstrated the utility of quadriceps tendon autograft in arthroscopic knee ligament reconstruction. The quadriceps tendon autograft provides a robust volume of tissue that can be reliably harvested, mitigating the likelihood of variably sized grafts and obviating the necessity of allograft augmentation. Modern, minimally invasive harvest techniques offer the advantages of low rates of donor site morbidity and residual extensor mechanism strength deficits. New data suggest that quadriceps tendon autograft may possess superior biomechanical characteristics when compared with bone-patella tendon-bone (BPTB) autograft. However, there have been very few direct, prospective comparisons between the clinical outcomes associated with quadriceps tendon autograft and other autograft options (eg, hamstring tendon and bone-patellar tendon-bone). Nevertheless, quadriceps tendon autograft should be one of the primary options in any knee surgeon’s armamentarium.