Anterior Cruciate Ligament Reconstruction with Quadriceps Tendon–Patellar Bone Autograft and Dual Tibial Fixation

Anterior cruciate ligament ruptures are a relatively common injury in the athletic population, and surgical reconstruction is often indicated to restore knee stability. While hamstring tendon and patellar bone–tendon–bone autografts are a well-established graft choice in this population, there has been a growing body of literature supporting the benefits of quadriceps tendon autograft. Our technique illustrates a full-thickness quadriceps tendon–patellar bone autograft with dual tibial fixation using an interference screw and backup suspensory anchor fixation.