88 / 244
GRAFT HARVESTING COMPLICATIONS IN ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION
87
kneeling after KJ techniques (72%) but also
surprisingly frequent for HT techniques (44%).
The literature reports numerous different
causes for anterior pains.
Post-operative complications after
semitendinosus grafts from the HT
Muscle lesions, notably elongation or short
tears, have been observed in the graft harvest
zone. Such complications require adjustment
of the rehabilitation program, particularly
muscle reinforcement exercises.
Postoperative complications after KJ
procedures
• Patellar fractures could occur post-
operatively. Chouteau
& al.
reported an
incidence of 0.24% in a consecutive series of
1234 ACL reconstructions [1].
• Patellar tendon pathologies are well reported
and understood. They are usually treated
through a multidisciplinary approach with the
recent use of isokinetic techniques.
CONCLUSION
Iatrogenic complications of graft harvesting
during ACL reconstruction remain relatively
rare. Nevertheless, their incidence can have
significantly impact patient satisfaction and
functional outcomes. They can be avoided,
ideally through rigorous and meticulous
surgical techniques.
Fig. 2:
Incidence of sensitive troubles using
different techniques (according to Dejour [2]).
LITERATURE
[1] CHOUTEAU J, LAPTOIU D, LERAT JL, MOYEN B.
Fracture de la patella après prélèvement os-tendon patellaire-
os pour ligamentoplastie de reconstruction du ligament
croisé antérieur : incidence du type de prélèvement.
Rev Chir
Orthop Reparatrice Appar Mot. 2008; 94(6): 561-5.
[2] DEJOUR D, POTEL JF, GAUDOT F, PANISSET JC,
CONDOURET J. Symposium, congrès SFA, Lyon,
décembre 2007 : Quelle plastie du LCA, pour quelle laxité,
pour quel patient ? La rupture du ligament croisé antérieur,
de l’analyse préopératoire du type de rupture à l’évaluation
finale à deux ans, retentissement selon le transplant choisi
sur les résultats subjectifs et objectifs.
Rev Chir Orthop
Reparatrice Appar Mot. 2008; Volume 94, n° 8S, pp. 356-61.
[3] ZAFFAGNINI S, MARCACCI M, LO PRESTI M,
GIORDANO G, IACONO F, NERI MP. Prospective and
randomized evaluation of ACL reconstruction with three
techniques: a clinical and radiographic evaluation at 5 years
follow-up.
Knee Surg Sports Traumatol Arthrosc. 2006;
14(11): 1060-9.