Publication: Anatomical study of quadriceps tendon for anterior cruciate ligament reconstruction
2
Issued Date
2020-10-01
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ISSN
1875855X
19057415
19057415
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2-s2.0-85086357954
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Mahidol University
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SCOPUS
Bibliographic Citation
Asian Biomedicine. Vol.13, No.5 (2020), 179-183
Suggested Citation
Thanathep Tanpowpong, Teerachat Tanasansomboon, Thanasil Huanmanop, Sorawut Thamyongkit, Peeradon Jaruprat, Tharit Inkaratana Anatomical study of quadriceps tendon for anterior cruciate ligament reconstruction. Asian Biomedicine. Vol.13, No.5 (2020), 179-183. doi:10.1515/abm-2019-0058 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/57674
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Title
Anatomical study of quadriceps tendon for anterior cruciate ligament reconstruction
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Abstract
© 2019 2019 Thanathep Tanpowpong et al., published by Sciendo. The quadriceps tendon is a promising alternative graft choice for anterior cruciate ligament (ACL) reconstruction. Morphology of the graft directly affects the biomechanical properties. However, a few studies are evaluating the anatomical structures of quadriceps tendon as a graft in Asian population. To define the anatomical structures of quadriceps tendon as a graft for ACL reconstruction. Forty-nine quadriceps tendons were dissected and analyzed. Measurements were also done including length, width, and thickness. The maximum length of superficial quadriceps tendon was 63.2 ± 12.5 mm (range 37.6-83.4). The maximum length of tendon at the deepest part was 57.2 ± 11.5 (range 30.9-83.4). The maximum length of quadriceps tendon was located at 61.4% ± 13% (range 31.8-83.6) from medial edge of the patella insertion (approximately 5 mm lateral from the center of quadriceps tendon insertion). The width of quadriceps tendon at patella insertion was 42.4 ± 3.8 mm (range 33.8-50.5). The thickness of quadriceps tendon at its maximum length on patella insertion was 6.9 ± 2.0 mm (range 1.5-9.5). Positive correlation between the height of cadaver and the maximum length of quadriceps tendon was noted. The maximum length of quadriceps tendon was located 5 mm lateral from the center of quadriceps tendon insertion. Thus, we recommend marking midline of the quadriceps tendon insertion as a medial border of the harvested graft to get maximum length of the graft. Graft length measurement using superficial anatomy should be cautioned because graft shortening might occur.