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this is dr jeffrey van thiel with ortho illinois an associate professor at rush university medical center and the university of illinois the following video shows a technique for a quadriceps tendon autograft the quadriceps tendon is an excellent choice for an acl reconstruction there is a growing body of literature that shows functional results and retail rates that are similar to both hamstring tendon grafts as well as patellar tendon grafts the quadriceps tendon offers the added benefit of decreased knee pain when compared to a patellar tendon graft and the ability to choose your size when compared to a hamstring tendon graft this makes the quadriceps tendon an excellent choice in patients that would like to avoid anterior knee pain and perhaps there is a concern with regards to the size of the hamstring tendons the quadriceps tendon is also an excellent choice for revision procedures overall i do think that the quadriceps tendon provides an excellent graft for an acl reconstruction