Acta Ortopédica Mexicana

Zenteno CB, Zarur MN, Berkeley ME
Subcutaneous approach for obtaining patellar autologous tendon grafting for anterior cruciate ligament plasty. An alternative for female athletes
Acta Ortop Mex 2002; 16 (3)

Language: Espańol
References: 3
Page: 161-162
PDF: 23.80 Kb.

[Fulltext - PDF]

ABSTRACT

Objective. To harvest a patellar ligament graft through a reduced subcutaneous approach in athlete women, who have anterior cruciate ligament (ACL) instability, for avoiding excessive cosmetic derangement of the knee. Material and methods. A series of 10 operated on knees in 9 basketball or volleyball women players is reported. Central third of the patellar ligament was taken altogether with 2 cm of bone grafting, both from patella and tibia, through a subcutaneous approach in order to perform ACL reconstruction by arthroscopy. Knees were immobilized for 6 weeks after surgery and a rehabilitation program was installed afterwards. Follow-up was from 6 months to 8 years (25.8 months in avg.). Results. After a minimal average of 6 months, all women returned to their former sports activity. In some cases sporadic pain appeared at the point of the donnor site of the patella. As well, in some cases, certain separation between the remaining 2 stripes (medial and lateral) of the patellar ligament was observed with no cosmetic damage in the feminine knee. Conclusion. Obtaining bone-tendon-bone graft from the patellar ligament through a subcutaneous approach is considered a risk-free procedure that allows the knee a complete functional recovery as well as the practice of sports.


Key words: knee, patellar ligament, grafting, anterior cruciate ligament, subcutaneous, arthroscopy.


REFERENCES

  1. Bernicker JP, Lintner DM, Haddad JL, et al. Serial magnetic resonance imaging of the patellar tendon defect during the first year following ACL reconstruction arthroscopy Association of North America, 16th Annual Meeting, San Diego California, 1997: 23-26.

  2. Chan KM, Li CK, Tang C, et al. Patellar tendon healing after removal of its central one-third may alter patellofemoral contact pressure and areas in dogs, First Biennial Congress of the International Society of Arthroscopy, Knee Surgery and Orthopaedic Sports Medicine, Buenos Aires, Argentina, 1997: 11-16.

  3. Coupens SD, Yates CK, Sheldon C, et al. Magnetic resonance imaging evaluation of the patellar tendon after use of its central one-third for anterior cruciate ligament reconstruction. Am J Sports Med 1992; 20(3): 332-335.