title: Anterior Cruciate Ligament Reconstruction Using a Bone-Patellar Tendon-Bone Autograft to Avoid Harvest-Site Morbidity in Knee Arthroscopy.
abstract: Although anterior cruciate ligament reconstruction using a bone-patellar tendon-bone (BPTB) autograft has many advantages (e.g., high strength and solid fixation), there are also several complications (e.g., anterior knee pain or kneeling pain) due to harvest-site morbidity associated with the use of this graft type compared with the use of hamstring tendon. Therefore the ultimate goal of anterior cruciate ligament reconstruction using a BPTB graft is to minimize harvest-site morbidity. We have used a technique for harvesting central-third BPTB grafts that involves only a 3-cm-long, longitudinal, curved incision in the medial tibial tuberosity for both graft harvesting and fixation. The purpose of this report is to describe the technique, which can avoid the harvest-site morbidities associated with BPTB autografts during knee arthroscopy. We believe that this less invasive reconstruction may reduce the harvest-site morbidities associated with BPTB grafts because it allows for BPTB graft harvesting without incising the synovial bursa or paratenon and mitigates scarring and adhesion formation.
authors.affiliation: Koh Orthopaedic Clinic, Tsurumi, Japan.
authors.forename: Eitaku
authors.initials: E
authors.lastname: Koh
authors.affiliation: Department of Orthopaedic Surgery, Kansai Medical University, Hirakata, Japan.
authors.forename: Kenichi
authors.initials: K
authors.lastname: Oe
authors.affiliation: Takemura Orthopaedic Clinic, Himeji, Japan.
authors.forename: Seisuke
authors.initials: S
authors.lastname: Takemura
authors.affiliation: Department of Orthopaedic Surgery, Kansai Medical University, Hirakata, Japan.
authors.forename: Hirokazu
authors.initials: H
authors.lastname: Iida