title: Mini-invasive technique for bone patellar tendon bone harvesting: its superiority in reducing anterior knee pain following ACL reconstruction.
abstract: Arthroscopically-assisted ACL-reconstructions are currently reliable, reproducible. Residual anterior knee symptoms however, especially after patellar-BTB graft use, are not uncommon occurrences. Contributing factors are numerous and include injury to the saphenous nerve infrapatellar branches and/or histologic changes at the harvest site. The use of mini invasive harvesting technique decreases the risk of injury to the saphenous nerve infrapatellar branches while preserving the peritenon. The double-incision approach significantly reduces the mid-term incidence of anterior knee pain after ACL-reconstruction. Additionally, this technique markedly decreases the occurrence of sensory disorders and the extent of hypoesthesia. We thus advocate the use of a double-incision graft harvesting technique in ACL-reconstruction using a patellar-bone-tendon-bone transplant.
authors: Department of Orthopaedics & Traumatology, André Mignot Hospital Center, 177, rue de Versailles, 78157, Le Chesnay, Cedex, France, pbeaufils@ch-versailles.fr.
authors: Philippe
authors: P
authors: Beaufils
authors: Fabrice
authors: F
authors: Gaudot
authors: Olivier
authors: O
authors: Drain
authors: Philippe
authors: P
authors: Boisrenoult
authors: Nicolas
authors: N
authors: Pujol
references: Arthroscopy. 2001 Nov-Dec;17(9):971-80
references: 11694930
references: Arthroscopy. 1999 May;15(4):388-91
references: 10355714
references: J Orthop Trauma. 1997 Apr;11(3):195-9
references: 9181503
references: Am J Sports Med. 2001 Nov-Dec;29(6):722-8
references: 11734484
references: Knee Surg Sports Traumatol Arthrosc. 1998;6(2):82-7
references: 9604191
references: Rev Chir Orthop Reparatrice Appar Mot. 1982;68(5):317-25
references: 6216535
references: Arthroscopy. 1993;9(2):143-8
references: 8461070
references: J Bone Joint Surg Br. 1996 Sep;78(5):823-6
references: 8836080
references: J Ultrasound Med. 1997 Apr;16(4):251-5
references: 9315152
references: Am J Sports Med. 2000 Jul-Aug;28(4):562-7
references: 10921651
references: Orthop Traumatol Surg Res. 2009 Feb;95(1):28-35
references: 19251234
references: J Bone Joint Surg Br. 1991 May;73(3):374-6
references: 1670430
references: J Bone Joint Surg Am. 1998 Feb;80(2):184-97
references: 9486724
references: Rev Chir Orthop Reparatrice Appar Mot. 2007 Dec;93(8):836-41
references: 18166956
references: Rev Chir Orthop Reparatrice Appar Mot. 2008 Dec;94(8 Suppl):372-4
references: 19046695
references: Am J Sports Med. 1991 Sep-Oct;19(5):478-84
references: 1962713
references: Am J Sports Med. 1998 Mar-Apr;26(2):181-8
references: 9548110
references: Am J Sports Med. 1988 Jan-Feb;16(1):57-9
references: 3344881
references: Clin Orthop Relat Res. 1992 May;(278):160-3
references: 1563148
references: Am J Sports Med. 2003 Jan-Feb;31(1):19-25
references: 12531752
references: Scand J Med Sci Sports. 2001 Jun;11(3):170-7
references: 11374431
references: Arthroscopy. 1999 Sep;15(6):577-86
references: 10495173
references: Arthroscopy. 1995 Dec;11(6):749-52
references: 8679042
references: Am J Sports Med. 2001 Jul-Aug;29(4):450-6
references: 11476385
references: J Bone Joint Surg Am. 1970 Jun;52(4):838-9
references: 5479469
references: Am J Sports Med. 2002 Mar-Apr;30(2):214-20
references: 11912091
references: Am J Sports Med. 2004 Jan-Feb;32(1):39-46
references: 14754722