08/04/2025
An increasing number of sports medicine surgeons are embracing the quadriceps tendon as their "go to" ACL graft. Reported clinical outcomes are excellent, and harvesting the tendon is straightforward and reliable. However, one of the potential drawbacks is early quad muscle weakness. Although much of this can be addressed with targeted rehab strategies, other solutions are being explored.
https://youtu.be/l0wp24k6c1M?feature=shared
This surgical technique video demonstrates a novel application of Arthrex Amnion to the quad tendon harvest site. Laboratory data suggests amnion is useful in tendon healing, reinnervation, and muscle regrowth. Clinically, it has shown utility in the achilles tendon.
We have hypothesized that application of Amnion to the quad harvest site might help early quad muscle recovery after ACL reconstruction. Because there are no previous studies on this exact application, with support from American Orthopaedic Society for Sports Medicine, we are currently enrolling in a randomized clinical trial at Ochsner Health to test our hypothesis.
This video demonstrates our technique for utilizing the graft while still maintaining minimally invasive harvest incision, as well as a case vignette (from a non-trial participant - consent obtained).
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Amniotic membrane is tissue taken from leftover umbilical cord and placenta after live births (no babies are harmed). It contains numerous growth factors and...