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Donor-site morbidity after harvest of a bone-tendon-bone patellar tendon autograft

  • Anterior Cruciate Papers
  • Published:
Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

Abstract

The effects of closure of the peritendineum and bone grafting of the patellar defect after harvest of the bone-tendon-bone patellar tendon autograft was investigated prospectively in two groups of 25 patients. Anterior cruciate ligament (ACL) reconstruction was performed with minimally invasive techniques either arthroscopically or via mini-arthrotomy. Patellar height, size of bony and tendon defects, and overall result were followed up for 2 years postoperatively. The results showed that closure of the peritendineum enhances healing of the patellar tendon defect and restores a normal apperance of the tendon within 2 years. We have stopped bone grafting the patellar defect with cancellous bone because of the risk of formation of painful spurs at the inferior pole of the patella which occurred in 36% of patients.

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Authors and Affiliations

  1. Orthopädische Klinik, Medizinische Hochschule Hannover im Annastift, Heimchenstrasse 1-7, D-30625, Hannover, Germany

    D. Kohn & A. Sander-Beuermann

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  1. D. Kohn
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  2. A. Sander-Beuermann
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Kohn, D., Sander-Beuermann, A. Donor-site morbidity after harvest of a bone-tendon-bone patellar tendon autograft. Knee Surg, Sports traumatol, Arthroscopy 2, 219–223 (1994). https://doi.org/10.1007/BF01845591

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