Helicity is a topological invariant that measures the linkage and knottedness of lines, tubes and ribbons. As such, it has found myriads of applications in astrophysics and solar physics, in fluid dynamics, in atmospheric sciences, and in biology. In quantum flows, where topology-changing reconnection events are a staple, helicity appears as a key quantity to study. However, the usual definition of helicity is not well posed in quantum vortices, and its computation based on counting links and crossings of vortex lines can be downright impossible to apply in complex and turbulent scenarios. We present a new definition of helicity which overcomes these problems. With it, we show that only certain reconnection events conserve helicity. In other cases helicity can change abruptly during reconnection. Furthermore, we show that these events can also excite Kelvin waves, which slowly deplete helicity as they interact nonlinearly, thus linking the theory of vortex knots with observations of quantum turbulence. Although helicity is perfectly conserved in barotropic ideal fluids, in real fluids [13,14] and in superfluids [15,16] vortex reconnection events, which alter the topology of the flow, can take place. It is unclear how well helicity is preserved under reconnection. As a few examples, experiments of vortex knots in water have shown that center line helicity remains constant throughout reconnection events [17], while theoretical arguments indicate that writhe (one component of the helicity) should be conserved in anti-parallel reconnection events [18], a fact later confirmed in numerical simulations of a few specific quantum vortex knots [19]. However, numerical studies of Burgers-type vortices indicate that helicity is not conserved [20]. While experiments studying helicity in quantum flows have not been done yet, the recent experimental creation of quantum knots in a Bose-Einstein condensate in the laboratory [21] is a significant step in that direction.Recently, quantum flows have been used as a testbed for many of these ideas [17,19], as vorticity in a quantum flow is concentrated along vortex lines with quantized circulation, and as these vortex lines can reconnect without dissipation. However, the lack of a fluid-like definition of helicity for a quantum flow requires complex topological measurements of the linking and knottedness of vortex lines [17], or artificial filtering of the fields [19] to prevent spurious values of helicity resulting from the singularity near quantum vortices. Moreover, helicity in quantum flows has an interest per se, as reconnection events in superfluid turbulence can excite Kelvin waves [22]. These are helical perturbations that travel along the vortex lines first predicted for classical vortices by Lord Kelvin (see [23]). Kelvin waves are believed to be responsible for the generation of an energy cascade [24,25] leading to Kelvin wave turbulence [26]. Possible links between helicity and the development of Kelvin wave turbulence have remain obscure as a result of the difficulties i...