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Journal of Bone and Joint Surgery - British Volume, Vol 74-B, Issue 4, 617-619
Copyright © 1992 by British Editorial Society of Bone and Joint Surgery

Articles

Fractures associated with patellar ligament grafts in cruciate ligament surgery

B Christen and RP Jakob

Department of Orthopaedic Surgery, University of Berne, Inselspital, Switzerland.

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.


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A. Harvey, N. P. Thomas, and A. A. Amis
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J Bone Joint Surg Br, May 1, 2005; 87-B(5): 593 - 603.
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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General