Donor-site morbidity and anterior knee problems after anterior cruciate ligament reconstruction using autografts

摘要: The authors review the current knowledge on donor site-related problems after using different types of autografts for anterior cruciate ligament (ACL) reconstruction and make recommendations minimizing late donor-site problems. Postoperative morbidity knee pain following ACL surgery may result in substantial impairment patients. selection graft, surgical technique, rehabilitation program can affect severity that patients experience. loss or disturbance sensitivity caused by intraoperative injury to infrapatellar nerve(s) conjunction with patellar tendon harvest is correlated discomfort an inability kneel knee-walk. at site has significant clinical, radiographic, histologic abnormalities 2 years its central third. Donor-site correlates poorly radiographic findings use autografts. hamstring appears cause less postoperative than There also be a regrowth tendons within harvesting procedure. little known about effect fascia lata quadriceps Efforts should made spare during Reharvesting cannot recommended due It important regain full range motion strength any type autograft avoid future If randomized controlled trials show long-term laxity measurements are equal those autografts, we recommend because there fewer