Published in paper:
Slone HS, Ashford WB, Xerogeanes JW. Minimally Invasive Quadriceps Tendon Harvest and Graft Preparation for All-Inside Anterior Cruciate Ligament Reconstruction. Arthroscopy techniques. 2016;5(5):e1049-e56.
Xerogeanes and associates have developed a special minimally invasive technique for graft harvest for all-inside ACL reconstruction. Generally, all-inside technique is considered to cause less surgical trauma and bone removal, leading to less postoperative pain and improved cosmetics. It requires shorter grafts and since shortening the BTB graft proves to be difficult, QT graft appears to be an ideal choice for this technique. The possibility of determining the length and volume of quadriceps tendon in magnetic resonance imaging, prior to the surgery also present a significant advantage to its application, when talking about all-inside reconstruction. Xerogeanes routinely conducts preoperative MRI measurement of the Quadriceps tendon at mid-sagittal plane, 3cm proximal to the superior pole of the patella as presented in the following description of the technique. This area has been recognized as the point of representable tendon thickness in the previous study published by Xerogeanes et al. “Anatomic and Morphological Evaluation of the Quadriceps Tendon Using 3-Dimensional Magnetic Resonance Imaging Reconstruction Applications for Anterior Cruciate Ligament Autograft Choice and Procurement”, published in American Journal for Sport Medicine.