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Journal article

Fractures associated with patellar ligament grafts in cruciate ligament surgery.

  • Christen B Department of Orthopaedic Surgery, University of Berne, Inselspital, Switzerland.
  • Jakob RP
  • 1992-07-01
Published in:
  • The Journal of bone and joint surgery. British volume. - 1992
Adult
Anterior Cruciate Ligament
Anterior Cruciate Ligament Injuries
Fractures, Bone
Humans
Iatrogenic Disease
Ligaments, Articular
Male
Patella
Posterior Cruciate Ligament
Radiography
Retrospective Studies
English We reviewed retrospectively 490 patellar ligament reconstructions for cruciate ligament injuries performed from 1980 to 1990. There were six cases of patellar splitting and three displaced patellar fractures in donor knees. The fissure fractures all occurred during the removal of the patellar bone block. The displaced fractures were sustained during early rehabilitation, and in two of the three patients, involved the normal contralateral knee. The major reasons for this complication were imprecise saw cuts, spreading osteotomies, and the use of a too large patellar bone block. When a trapezoidal bone block is used to self-lock in the femoral tunnel, this should preferably be taken from the tibia. Special care is needed in rehabilitation when the graft has been taken from the contralateral knee.
Language
  • English
Open access status
bronze
Identifiers
Persistent URL
https://sonar.ch/global/documents/111251
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