Anatomic anterior cruciate ligament reconstruction using the quadriceps tendon

Bone-patellar tendon-bone (BPTB) and hamstring tendon (HT) grafts are the most commonly used autografts in anterior cruciate ligament (ACL) reconstruction at present. However, they have considerable limitations. Recently, accumulating evidence from biomechanical and clinical data supports interest in the clinical feasibility of the quadriceps tendon (QT) autograft. The QT autograft is characterized by a greater cross-sectional area and provides better biomechanical properties than BPTB or HT. Herein, a single-bundle and modified transtibial anatomical ACL reconstruction technique using the QT graft is introduced in detail, and the clinical results and usefulness of anatomical ACL reconstruction using the QT graft are thoroughly reviewed. Single-bundle and modified transtibial anatomical ACL reconstruction using the QT autograft is a robust, reliable, and reproducible surgical technique and graft choice that can be considered in primary ACL reconstruction.