Is ACL reconstruction done with a quadriceps tendon graft?

The graft is taken from the quadriceps tendon above the kneecap. It may include a small bone piece or be prepared as soft tissue, depending on the surgical plan. The tissue is shaped and fixed inside the knee to replace the torn ACL.

The quadriceps is central to straightening the knee, standing up, climbing stairs, and controlling landings. Rehabilitation therefore pays close attention to swelling, full extension, quadriceps activation, and gradual loading while the graft heals.

Discuss prior knee surgery, kneecap symptoms, quadriceps strength, work demands, and sport requirements. Your clinician may recommend preoperative strengthening and a clear home routine. After surgery, use the prescribed brace, walking aid, exercises, and activity limits; progress follows examination findings rather than a calendar alone.

Explore the tissue option at [Quadriceps Tendon Graft](/materials/quadriceps-tendon-graft/) and the operation at [ACL Reconstruction](/treatments/sports-and-arthroscopic-surgery/acl-reconstruction/).

Call the surgical team for fever, worsening wound redness or drainage, severe calf swelling or pain, chest discomfort, or difficulty breathing. A new inability to straighten the knee, sudden loss of function, repeated giving way, or swelling that escalates after exercises also deserves prompt review.

Will my graft include a bone plug? How will you protect quadriceps function after surgery? Which exercises should begin first, and which should wait? How will knee extension, strength, balance, and movement quality guide my return to demanding activities?