Uploaded May 2025 | Updated September 2026, 1 week ago
In this video, we demonstrate endoscopic closure of a quadriceps tendon defect using the LoopLink™ suture system, a technique commonly performed after ACL reconstruction with a quad tendon autograft.
After harvesting a quadriceps tendon graft, a full-thickness defect remains that requires closure to optimize healing, reduce fluid leakage, and prevent postoperative discomfort.
🔧 Procedure Overview
The procedure begins with endoscopic visualization of the quadriceps tendon defect, where the surgeon identifies the gap created by graft harvest.
Closure starts with a luggage-tag suture at the apex of the defect, bringing the two tendon edges together for initial stabilization.
A running suture technique is then performed using the LoopLink™ suture, alternating passes through both sides of the tendon to progressively close the defect.
The suture can be placed using an endoscopic device (such as a Scorpion passer), allowing precise tissue capture even through small incisions.
As the repair advances, the tendon edges are approximated, creating a watertight closure that promotes healing and reduces postoperative complications.
The repair is completed by tying and burying a low-profile knot, minimizing irritation and improving patient comfort.
✅ Key Benefits of LoopLink™ Quad Tendon Closure
Minimally invasive endoscopic technique
Creates a watertight closure to prevent fluid extravasation
Improves tendon healing (better imaging outcomes)
Reduces palpable defects and patient discomfort
Low-profile suture minimizes knot irritation
🦵 Clinical Applications
This technique is commonly used for:
Quadriceps tendon autograft harvest closure (ACL reconstruction)
Full- or partial-thickness quad tendon defects
Arthroscopic knee procedures requiring tendon repair
🏃 Recovery & Outcomes
Proper tendon closure contributes to:
Improved healing of the quadriceps tendon
Reduced postoperative discomfort
Lower risk of fluid leakage during surgery
Better structural integrity of the extensor mechanism
🎯 Who This Video Is For
Orthopedic surgeons & residents
Sports medicine knee specialists
Arthroscopy learners
Patients researching ACL surgery techniques
👇 Helpful Arthrex Reference Links:
arthrex.com/elbow/distal-bicepsbutton?utm_source=youtube&utm_medium=video_description&utm_campaign=corp_elbow&utm_content=WnlmaE5z9h0_surgical_technique
https://www.arthrex.com?utm_source=youtube&utm_medium=video_description&utm_campaign=corp_general&utm_content=WnlmaE5z9h0_surgical_technique
👍 Like, comment, and subscribe to see more patient success stories and innovations in minimally invasive orthopedic procedures.
Arthrex is a global leader in orthopedic surgical innovation, dedicated to advancing minimally invasive techniques and medical education. Our mission is to help surgeons treat their patients better by providing cutting-edge products, expert training, and comprehensive resources for orthopedic procedures, including sports medicine, joint preservation, and trauma care.
Stay Connected: 👍 Subscribe to our channel for the latest in orthopedic surgical techniques and product updates.
📱 Follow Arthrex on:
LinkedIn: / linkedin.com/company/arthrex
Facebook: / facebook.com/Arthrex
Instagram: / instagram.com/arthrexmeded
X: https://x.com/arthrex
In this video, we demonstrate endoscopic closure of a quadriceps tendon defect using the LoopLink™ suture system, a technique commonly performed after ACL reconstruction with a quad tendon autograft.
After harvesting a quadriceps tendon graft, a full-thickness defect remains that requires closure to optimize healing, reduce fluid leakage, and prevent postoperative discomfort.
🔧 Procedure Overview
The procedure begins with endoscopic visualization of the quadriceps tendon defect, where the surgeon identifies the gap created by graft harvest.
Closure starts with a luggage-tag suture at the apex of the defect, bringing the two tendon edges together for initial stabilization.
A running suture technique is then performed using the LoopLink™ suture, alternating passes through both sides of the tendon to progressively close the defect.
The suture can be placed using an endoscopic device (such as a Scorpion passer), allowing precise tissue capture even through small incisions.
As the repair advances, the tendon edges are approximated, creating a watertight closure that promotes healing and reduces postoperative complications.
The repair is completed by tying and burying a low-profile knot, minimizing irritation and improving patient comfort.
✅ Key Benefits of LoopLink™ Quad Tendon Closure
Minimally invasive endoscopic technique
Creates a watertight closure to prevent fluid extravasation
Improves tendon healing (better imaging outcomes)
Reduces palpable defects and patient discomfort
Low-profile suture minimizes knot irritation
🦵 Clinical Applications
This technique is commonly used for:
Quadriceps tendon autograft harvest closure (ACL reconstruction)
Full- or partial-thickness quad tendon defects
Arthroscopic knee procedures requiring tendon repair
🏃 Recovery & Outcomes
Proper tendon closure contributes to:
Improved healing of the quadriceps tendon
Reduced postoperative discomfort
Lower risk of fluid leakage during surgery
Better structural integrity of the extensor mechanism
🎯 Who This Video Is For
Orthopedic surgeons & residents
Sports medicine knee specialists
Arthroscopy learners
Patients researching ACL surgery techniques
👇 Helpful Arthrex Reference Links:
arthrex.com/elbow/distal-bicepsbutton?utm_source=youtube&utm_medium=video_description&utm_campaign=corp_elbow&utm_content=WnlmaE5z9h0_surgical_technique
https://www.arthrex.com?utm_source=youtube&utm_medium=video_description&utm_campaign=corp_general&utm_content=WnlmaE5z9h0_surgical_technique
👍 Like, comment, and subscribe to see more patient success stories and innovations in minimally invasive orthopedic procedures.
Arthrex is a global leader in orthopedic surgical innovation, dedicated to advancing minimally invasive techniques and medical education. Our mission is to help surgeons treat their patients better by providing cutting-edge products, expert training, and comprehensive resources for orthopedic procedures, including sports medicine, joint preservation, and trauma care.
Stay Connected: 👍 Subscribe to our channel for the latest in orthopedic surgical techniques and product updates.
📱 Follow Arthrex on:
LinkedIn: / linkedin.com/company/arthrex
Facebook: / facebook.com/Arthrex
Instagram: / instagram.com/arthrexmeded
X: https://x.com/arthrex
