Physical Therapy & Rehabilitation Science
DPT (Doctor of Physical Therapy)
Session and Year of Graduation
Laura Frey Law
Introduction: Anterior Cruciate Ligament (ACL) injuries are one of the most common injuries encountered today. ACL reconstruction surgeries are an extremely popular treatment used to help return patients to their activities post ACL tear. There are several different graft options, with patellar tendon grafts and hamstring tendon grafts being the two most popular. However, quadriceps tendon grafts are becoming more popular. Thus the purpose of this literature review and case report is to provide information for therapists not fully familiar with this approach. In this literature review with a case example, quadricep tendon grafts will be compared with patellar tendon grafts and hamstring tendon grafts for ACL reconstruction. Surgical Intervention: Background on the surgical intervention of patellar tendon, hamstring tendon, and quadriceps tendon graft harvest and placement discussed and compared. Evidence Based Comparison: Literature review and comparison of viability and outcomes of each graft type discussed. Main comparisons made considering tissue strength, donor site morbidity, stability and range of motion, functional outcomes, graft re-rupture rates, and patient satisfaction. Case Description: The initial post-operative rehabilitation of a 21 year-old male following an ACL reconstruction surgery with a quadriceps tendon autograft and lateral extra articular tenodesis is described. Discussion: Quadriceps tendon graft for ACL reconstruction is a safe and viable option that provides stability, quick healing time, and decreased pain based on the literature. Outcome scores of the patient population with this procedure are comparable or favorable to those of patellar tendon and hamstring tendon graft surgeries, supporting the current evidence. This is an up and coming technique that may be used more frequently in the future.
Anterior cruciate ligament; knee; reconstruction; sports medicine; orthopedics; physical therapy; rehabilitation
Copyright © 2018 Lucas Thompson