Superficial band of the quadriceps tendon harvested with a minimally invasive technique provides adequate graft dimensions: a cadaveric study

Introduction: This study explored a minimally invasive technique for harvesting the superficial band of the quadriceps tendon. By using a conventional graft tendon stripper, the procedure aims to obtain the full length of tendon fibers necessary for anterior cruciate ligament (ACL) reconstruction. T...

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Main Authors: Thamrongskulsiri Napatpong, Khwanjaipanich Varachaya, Limskul Danaithep, Tanpowpong Thanathep, Kuptniratsaikul Somsak, Itthipanichpong Thun
Format: Article
Language:English
Published: EDP Sciences 2025-01-01
Series:SICOT-J
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Online Access:https://www.sicot-j.org/articles/sicotj/full_html/2025/01/sicotj240121/sicotj240121.html
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author Thamrongskulsiri Napatpong
Khwanjaipanich Varachaya
Limskul Danaithep
Tanpowpong Thanathep
Kuptniratsaikul Somsak
Itthipanichpong Thun
author_facet Thamrongskulsiri Napatpong
Khwanjaipanich Varachaya
Limskul Danaithep
Tanpowpong Thanathep
Kuptniratsaikul Somsak
Itthipanichpong Thun
author_sort Thamrongskulsiri Napatpong
collection DOAJ
description Introduction: This study explored a minimally invasive technique for harvesting the superficial band of the quadriceps tendon. By using a conventional graft tendon stripper, the procedure aims to obtain the full length of tendon fibers necessary for anterior cruciate ligament (ACL) reconstruction. The study aimed to determine if this technique can produce grafts of sufficient length and diameter. Methods: From September to October 2023, we conducted a study using full-body Thiel-embalmed cadavers over 18 years of age without pathology-related alterations in lower limb anatomy. The mid-diameter of the graft was measured at its midpoint, and the peripheral diameter was taken at the ends. The length of the triple-folded graft was measured from end to end. A digital vernier caliper measured the length and mid-diameter, and a graft sizer measured the peripheral diameter. Results: Sixteen quadriceps tendon autografts were harvested from 16 knees of 8 cadavers (mean age: 64.7 ± 9.9 years). The minimally invasive harvesting technique yielded a mean graft length of 289.0 ± 10.3 mm before folding, a mean mid-diameter of 9.7 ± 0.7 mm, a mean peripheral diameter of 8.5 ± 0.4 mm, and a mean length of 93.1 ± 4.7 mm after triple folding. Gender-based comparisons showed no significant differences. Correlations between graft dimensions and height were not statistically significant. Discussion: The findings of this study indicate that the minimally invasive harvesting of the superficial band of the quadriceps tendon resulted in adequate graft dimension. Gender-based comparisons revealed no statistically significant differences in these dimensions between males and females. Additionally, correlation analysis showed weak to moderate correlations between graft dimensions and height, none of which were statistically significant, indicating no meaningful relationship between height and graft dimensions.
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institution Kabale University
issn 2426-8887
language English
publishDate 2025-01-01
publisher EDP Sciences
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spelling doaj-art-10151c19ba5a446d90fad374064db3e32025-08-20T03:51:09ZengEDP SciencesSICOT-J2426-88872025-01-01113710.1051/sicotj/2025037sicotj240121Superficial band of the quadriceps tendon harvested with a minimally invasive technique provides adequate graft dimensions: a cadaveric studyThamrongskulsiri Napatpong0https://orcid.org/0000-0001-7045-3222Khwanjaipanich Varachaya1Limskul Danaithep2https://orcid.org/0000-0002-5293-5428Tanpowpong Thanathep3Kuptniratsaikul Somsak4https://orcid.org/0000-0001-7256-4057Itthipanichpong Thun5https://orcid.org/0000-0002-8640-1651Sports Medicine Research Group, Faculty of Medicine, Chulalongkorn UniversityDepartment of Orthopaedics, Faculty of Medicine, Chulalongkorn UniversitySports Medicine Research Group, Faculty of Medicine, Chulalongkorn UniversitySports Medicine Research Group, Faculty of Medicine, Chulalongkorn UniversityDepartment of Orthopaedics, Faculty of Medicine, Chulalongkorn UniversitySports Medicine Research Group, Faculty of Medicine, Chulalongkorn UniversityIntroduction: This study explored a minimally invasive technique for harvesting the superficial band of the quadriceps tendon. By using a conventional graft tendon stripper, the procedure aims to obtain the full length of tendon fibers necessary for anterior cruciate ligament (ACL) reconstruction. The study aimed to determine if this technique can produce grafts of sufficient length and diameter. Methods: From September to October 2023, we conducted a study using full-body Thiel-embalmed cadavers over 18 years of age without pathology-related alterations in lower limb anatomy. The mid-diameter of the graft was measured at its midpoint, and the peripheral diameter was taken at the ends. The length of the triple-folded graft was measured from end to end. A digital vernier caliper measured the length and mid-diameter, and a graft sizer measured the peripheral diameter. Results: Sixteen quadriceps tendon autografts were harvested from 16 knees of 8 cadavers (mean age: 64.7 ± 9.9 years). The minimally invasive harvesting technique yielded a mean graft length of 289.0 ± 10.3 mm before folding, a mean mid-diameter of 9.7 ± 0.7 mm, a mean peripheral diameter of 8.5 ± 0.4 mm, and a mean length of 93.1 ± 4.7 mm after triple folding. Gender-based comparisons showed no significant differences. Correlations between graft dimensions and height were not statistically significant. Discussion: The findings of this study indicate that the minimally invasive harvesting of the superficial band of the quadriceps tendon resulted in adequate graft dimension. Gender-based comparisons revealed no statistically significant differences in these dimensions between males and females. Additionally, correlation analysis showed weak to moderate correlations between graft dimensions and height, none of which were statistically significant, indicating no meaningful relationship between height and graft dimensions.https://www.sicot-j.org/articles/sicotj/full_html/2025/01/sicotj240121/sicotj240121.htmlquadricepsautograftsuperficialharvestacl
spellingShingle Thamrongskulsiri Napatpong
Khwanjaipanich Varachaya
Limskul Danaithep
Tanpowpong Thanathep
Kuptniratsaikul Somsak
Itthipanichpong Thun
Superficial band of the quadriceps tendon harvested with a minimally invasive technique provides adequate graft dimensions: a cadaveric study
SICOT-J
quadriceps
autograft
superficial
harvest
acl
title Superficial band of the quadriceps tendon harvested with a minimally invasive technique provides adequate graft dimensions: a cadaveric study
title_full Superficial band of the quadriceps tendon harvested with a minimally invasive technique provides adequate graft dimensions: a cadaveric study
title_fullStr Superficial band of the quadriceps tendon harvested with a minimally invasive technique provides adequate graft dimensions: a cadaveric study
title_full_unstemmed Superficial band of the quadriceps tendon harvested with a minimally invasive technique provides adequate graft dimensions: a cadaveric study
title_short Superficial band of the quadriceps tendon harvested with a minimally invasive technique provides adequate graft dimensions: a cadaveric study
title_sort superficial band of the quadriceps tendon harvested with a minimally invasive technique provides adequate graft dimensions a cadaveric study
topic quadriceps
autograft
superficial
harvest
acl
url https://www.sicot-j.org/articles/sicotj/full_html/2025/01/sicotj240121/sicotj240121.html
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AT kuptniratsaikulsomsak superficialbandofthequadricepstendonharvestedwithaminimallyinvasivetechniqueprovidesadequategraftdimensionsacadavericstudy
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