In order to become a member of the initiative it is essential that the expert has either used the Quadriceps tenton autograft for Ligament reconstruction in surgical practice or/and has published papers on the subject.
Each application will be processed and answer will be given in the shortest time possible
The International Quadriceps Tendon Interest (IQTI) initiative was founded with the idea of gathering leading experts in the field of Orthopedic surgery and Sports medicine who recognize the importance and applicability of Quadriceps Muscle tendon (QT) autograft for knee ligament reconstruction surgery.
We provided a detailed description of techniques for the use of QT in the ACL-,PCL- and MPFL- Reconstruction surgery. Each step of the described techniques is outlined with a corresponding pictures, followed by a video summary.
The publications from the available literature are divided in distinct categories in regards to surgical techniques, clinical outcomes, biomechanics, rehabilitation, etc. and each study is linked with the pub.med platform and/or the journal of origin.
This initiative was founded in 2017. with the goal of gathering experts in the fields of Orthopedic knee surgery and Sports medicine in order to share clinical practice expertise and research experiences, establish future research goals, clinical and rehabilitation protocols, which would ultimately lead to a better understanding and popularization of the Quadriceps tendon and its utilization as a safe, reproducible and versatile autograft choice for ACL and other ligament reconstruction surgeries.
Since QT autograft has mostly been reserved for revision surgeries in the past, due to a technically challenging open harvesting procedure with a high learning curve and less cosmetically attractive scaring, Fink et al. had a goal to develop a minimally invasive, less anatomically disruptive, and at the same time easily reproducible technique for QT harvest.Read More
Xerogeanes and associates have developed a special minimally invasive technique for graft harvest for all-inside ACL reconstruction. 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.Read More
Many surgeons use quadriceps tendon (QT) graft for anterior cruciate ligament (ACL) revision surgery; however, despite excellent clinical results, the QT has not achieved universal acceptance for primary ACL reconstruction.Read More
The members of this experts group are leading experts from around the world who have been using the QT autograft in their surgical practice and have conducted and published research on the subject.Read More
All who have been using the QT autograft, have conducted studies and published papers on the subject or have strong interest in doing so are welcome to apply for the membership in the IQTI. Each application will be processed and the answer will be given in the shortest time possible.Apply
Links to publications
Kinoshita T, Hashimoto Y, Iida K, Nakamura H. ACL Graft Matching: Cadaveric Comparison of Microscopic Anatomy of Quadriceps and Patellar Tendon Grafts and the Femoral ACL Insertion Site. Am J Sports Med. 2022;50(11):2953-2960.
Özbek EA, Dadoo S, Chang A, Simonian L, Sebastiani R, Herman Z, Runer A, Poploski KM, Smith CN, Irrgang JJ, Musahl V. Rates of Septic Arthritis After ACL Reconstruction: A Single-Center Analysis Highlighting Quadriceps Tendon Grafts. Am J Sports Med. 2023:3635465231165509.
Niederer D, Keller M, Jakob S, Petersen W, Mengis N, Vogt L, Guenther D, Brandl G, Drews BH, Behringer M, Groneberg DA, Stein T. Quadriceps and hamstring anterior cruciate ligament reconstruction differ only marginally in function after the rehabilitation: a propensity score-matched case-control study. Knee Surg Sports Traumatol Arthrosc. 2023;30:1–13.
Runer A, Keeling L, Wagala N, Nugraha H, Özbek EA, Hughes JD, Musahl V. Current trends in graft choice for primary anterior cruciate ligament reconstruction – part II: In-vivo kinematics, patient reported outcomes, re-rupture rates, strength recovery, return to sports and complications. J Exp Orthop. 2023;10(1):40
Gupton M, Imonugo O, Terreberry RR. Anatomy, Bony Pelvis and Lower Limb, Knee. In: StatPearls. Treasure Island (FL):2022.
Solie B, Monson J, Larson C. Graft-Specific Surgical and Rehabilitation Considerations for Anterior Cruciate Ligament Reconstruction with the Quadriceps Tendon Autograft. Int J Sports Phys Ther. 2023;18(2):493-512.
Kuenze C, Weaver A, Grindstaff TL, et al. Age-, Sex-, and Graft-Specific Reference Values From 783 Adolescent Patients at 5 to 7 Months After ACL Reconstruction: IKDC, Pedi-IKDC, KOOS, ACL-RSI, Single-Leg Hop, and Thigh Strength. J Orthop Sports Phys Ther. 2023;53(4):1-8
Rizvanovic D, Waldén M, Forssblad M, Stålman A. Surgeon’s experience, sports participation and a concomitant MCL injury increase the use of patellar and quadriceps tendon grafts in primary ACL reconstruction: a nationwide registry study of 39,964 surgeries. Knee Surg Sports Traumatol Arthrosc. 2023;31(2):475-486.
Runer A, Suter A, Roberti di Sarsina T, Jucho L, Gföller P, Csapo R, Hoser C, Fink C. Quadriceps tendon autograft for primary anterior cruciate ligament reconstruction show comparable clinical, functional, and patient-reported outcome measures, but lower donor-site morbidity compared with hamstring tendon autograft: A matched-pairs study with a mean follow-up of 6.5 years. J ISAKOS. 2023;8(2):60-67.