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Orthop Traumatol Surg Res. 2017 Dec;103(8S):S245-S248. doi: 10.1016/j.otsr.2017.09.002. Epub 2017 Sep 6.

Complications following harvesting of patellar tendon or hamstring tendon grafts for anterior cruciate ligament reconstruction: Systematic review of literature.

Author information

1
Service de chirurgie orthopédique, hôpital Cochin, 27, rue du Faubourg-Saint-Jacques, 75014 Paris, France; Société française d'arthroscopie Junior (SFAJ), France. Electronic address: alexandre.hardy@me.com.
2
Service de chirurgie orthopédique, hôpital Cochin, 27, rue du Faubourg-Saint-Jacques, 75014 Paris, France; Société française d'arthroscopie Junior (SFAJ), France.
3
Société française d'arthroscopie Junior (SFAJ), France; Service de chirurgie orthopédique, hôpital de Nantes, 1, place Alexis-Ricordeau, 44093 Nantes, France.
4
Service de chirurgie orthopédique, hôpital de Nantes, 1, place Alexis-Ricordeau, 44093 Nantes, France.

Abstract

Anterior cruciate ligament (ACL) reconstruction can be performed with an autograft, which is most often harvested from the patient's hamstring tendon (HT) or patellar tendon (PT). However, autograft harvesting leads to morbidity that is by no means insignificant. A systematic review of literature was performed to define the incidence of complications related to graft harvesting and the methods to prevent these complications. In March 2017, a systemic review of literature was performed using the keywords"harvesting", "harvest", "morbidity", "complication", "cruciate ligament". No time limit was applied. The studies had to be written in French or English with their abstract available online. This initial search based on the title and abstract identified 133 articles. Two independent observers analyzed each article entirely, including the references. In all, 36 articles were retained. The main complication of HT harvesting was sensory deficit because of damage to the infrapatellar branches of the saphenous nerve. This complication occurred in 39.7% to 88% of patients. This risk can be reduced by using a horizontal or oblique incision. The main complication following PT harvesting is anterior knee pain, reported in up to 46% of patients. There are substantial numbers of short-, medium- and long-term complications related to the harvesting of the two main ACL autografts. Effective means of prevention exist to reduce the risk of these complications.

LEVEL OF EVIDENCE:

II Systematic review of literature.

KEYWORDS:

Hamstring; Harvesting site; Nerve complication; Patellar ligament; Patellar tendon; Prevention

PMID:
28888527
DOI:
10.1016/j.otsr.2017.09.002
[Indexed for MEDLINE]
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