“The Superficial Quad Technique” for Medial Patellofemoral Ligament Reconstruction: The Surgical Video Technique
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 thick...
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| Format: | Article |
| Language: | English |
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Elsevier
2015-10-01
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| Series: | Arthroscopy Techniques |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2212628715000845 |
| _version_ | 1798032909848805376 |
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| author | Deepak Goyal, M.B.B.S., M.S.(Orthop), D.N.B.(Orthop), M.N.A.M.S. |
| author_facet | Deepak Goyal, M.B.B.S., M.S.(Orthop), D.N.B.(Orthop), M.N.A.M.S. |
| author_sort | Deepak Goyal, M.B.B.S., M.S.(Orthop), D.N.B.(Orthop), M.N.A.M.S. |
| collection | DOAJ |
| description | 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 quad technique is presented, covering the exact dissection of the graft material and its preparation, delivery, and fixation. |
| first_indexed | 2024-04-11T20:21:38Z |
| format | Article |
| id | doaj.art-75512f52fd224b3fb192fb0f7b6ae57f |
| institution | Directory Open Access Journal |
| issn | 2212-6287 |
| language | English |
| last_indexed | 2024-04-11T20:21:38Z |
| publishDate | 2015-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroscopy Techniques |
| spelling | doaj.art-75512f52fd224b3fb192fb0f7b6ae57f2022-12-22T04:04:48ZengElsevierArthroscopy Techniques2212-62872015-10-0145e569e575“The Superficial Quad Technique” for Medial Patellofemoral Ligament Reconstruction: The Surgical Video TechniqueDeepak Goyal, M.B.B.S., M.S.(Orthop), D.N.B.(Orthop), M.N.A.M.S.0Address correspondence to Deepak Goyal, Saumya Orthocare: Centre for Advanced Surgeries of the Knee Joint, 210, Baronet, Sabarmati, Ahmedabad, GU 380005, India.; Saumya Orthocare: Centre for Advanced Surgeries of the Knee Joint, Ahmedabad, IndiaWith 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 quad technique is presented, covering the exact dissection of the graft material and its preparation, delivery, and fixation.http://www.sciencedirect.com/science/article/pii/S2212628715000845 |
| spellingShingle | Deepak Goyal, M.B.B.S., M.S.(Orthop), D.N.B.(Orthop), M.N.A.M.S. “The Superficial Quad Technique” for Medial Patellofemoral Ligament Reconstruction: The Surgical Video Technique Arthroscopy Techniques |
| title | “The Superficial Quad Technique” for Medial Patellofemoral Ligament Reconstruction: The Surgical Video Technique |
| title_full | “The Superficial Quad Technique” for Medial Patellofemoral Ligament Reconstruction: The Surgical Video Technique |
| title_fullStr | “The Superficial Quad Technique” for Medial Patellofemoral Ligament Reconstruction: The Surgical Video Technique |
| title_full_unstemmed | “The Superficial Quad Technique” for Medial Patellofemoral Ligament Reconstruction: The Surgical Video Technique |
| title_short | “The Superficial Quad Technique” for Medial Patellofemoral Ligament Reconstruction: The Surgical Video Technique |
| title_sort | the superficial quad technique for medial patellofemoral ligament reconstruction the surgical video technique |
| url | http://www.sciencedirect.com/science/article/pii/S2212628715000845 |
| work_keys_str_mv | AT deepakgoyalmbbsmsorthopdnborthopmnams thesuperficialquadtechniqueformedialpatellofemoralligamentreconstructionthesurgicalvideotechnique |