ArticleArthroscopy, sports medicine, and rehabilitation2022
Biomechanical Comparison of Three Suspensory Techniques for all Soft Tissue Central Quadriceps Tendon Graft Fixation.
Article in Arthroscopy, sports medicine, and rehabilitation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.
- Quadriceps tendon autograft with or without bone block have comparable clinical outcomes, complications and revision rate for ACL reconstruction: a systematic review.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Pooled it
- Anatomic feasibility of using Shark Screw tendon for humeral ligament re-construction in medial and posterolateral elbow instability.JSES international · 2026Article
- Biomechanical properties of an all-soft tissue quadriceps tendon autograft compared with a quadrupled semitendinosus autograft: a cadaveric study.Knee surgery & related research · 2026Article
- Periosteum-enhanced triple-pass Krackow stitch provides higher ultimate load than conventional Krackow methods in a bovine patellar tendon model: a controlled biomechanical study.BMC musculoskeletal disorders · 2026Article
- Article
- Quadriceps tendon autograft for ACL reconstruction: A global survey from the International Quadriceps Tendon Interest Group.Journal of experimental orthopaedics · 2026Article
- No difference in clinical outcome between quadriceps tendon anterior cruciate ligament reconstruction with and without bone block: Results from the Danish Knee Ligament Registry.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Article
- Biomechanical Evaluation of Novel Tendon Coaptation Technique: A Potential Application for Tendon Transfers.Journal of hand surgery global online · 2025Article
- Effect of Quadriceps Tendon Autograft Preparation and Fixation on Graft Laxity During Suspensory Anterior Cruciate Ligament Reconstruction: A Biomechanical Analysis.Orthopaedic journal of sports medicine · 2024Article
- Whipstitch and Locking Stitch Show Equivalent Elongation and Load to Failure Across 3 Suture Systems in a Biomechanical Model of Quadriceps Tendon Grafts for Anterior Cruciate Ligament Reconstruction.Arthroscopy, sports medicine, and rehabilitation · 2024Article
- Whip-Lock Stitch Is Biomechanically Superior to Whipstitch for Semitendinosus Tendons.Arthroscopy, sports medicine, and rehabilitation · 2024Article
- Oh, My Quad: A Clinical Commentary And Evidence-Based Framework for the Rehabilitation of Quadriceps Size and Strength after Anterior Cruciate Ligament Reconstruction.International journal of sports physical therapy · 2024Article
- Anterior cruciate ligament reconstruction with all-soft tissue quadriceps tendon versus quadriceps tendon with bone block.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Graft-Specific Surgical and Rehabilitation Considerations for Anterior Cruciate Ligament Reconstruction with the Quadriceps Tendon Autograft.International journal of sports physical therapy · 2023Article
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Purpose: The purpose of this study was to evaluate three different methods of attachment of continuous loop suspensory cortical preparation of all soft tissue central quad tendon grafts compared to a bone block control for anterior cruciate ligament reconstruction on construct displacement and load to failure. Methods: Thirty-two cadaveric central quadriceps tendon (CQT) specimens were harvested, using three clinical techniques for graft fixation: cortical button alone (BTB EB), BTB cortical button with rip-stop suture (BTB RS), and continuous loop cortical button (BTB CL). A control group was also included that consisted of a bone block secured within testing clamps (BTB CON). Specimens were preloaded to 150 N. Tendons were then cyclically loaded between 50 N and 250 N for 1,000 cycles at .5 Hz. Displacement was measured at the point of fixation of the CQT after the 150 N preload, 250 N initial load and every 100th cycle. The specimens were loaded to failure after 1,000 cycles. Results: There was a significant increase in displacement from .32 ± .56 mm for the BTB CON to 1.91 ± 1.13 mm for the BTB RS ( Conclusion: In response to cyclic loading, the three all-soft tissue suspensory conditions experienced significantly greater displacement compared to the bone block controls. None of the soft-tissue conditions appeared superior when compared to each other. Clinical Relevance: It remains unknown which method of soft-tissue suspensory provides optimal fixation. As these autografts become more common, it is essential to evaluate which fixation methods provide superior outcomes.
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