Patellar fracture after anterior cruciate ligament reconstruction using a bone patellar tendon bone transplant: A comparative study of two harvesting techniques
Fracture de la patella après prélèvement os-tendon patellaire-os pour ligamentoplastie de reconstruction du ligament croisé antérieur : incidence du type de prélèvement
CHOUTEAU ; LAPTOIU ; LERAT ; MOYEN
Type de document
ARTICLE A COMITE DE LECTURE REPERTORIE DANS BDI (ACL)
Langue
anglais
Auteur
CHOUTEAU ; LAPTOIU ; LERAT ; MOYEN
Résumé / Abstract
PURPOSE OF THE STUDY: We studied the incidence and the impact of patellar fracture after anterior cruciate ligament (ACL) reconstruction, comparing two harvesting techniques. MATERIAL AND METHODS: Series A included Kenneth Jones ligamentoplasties (n=1234). The distal and central part of the patella were harvested using an oscillating saw and a gouge. Series B included 676 Mac InJones reconstructions performed during the same period. The patellar cut was done from porximal to distal its attachment were harvested with a manual wire saw. The bony harvesting site was filled with cancellous bone. RESULTS: There were three postoperative transversal patellar fractures (0.24%), all in series A. Functional outcome was disappointing but there was no impact on knee stability. DISCUSSION: The fact that the Mac InJones technique does not involve a transversal cut would apparently prevent secondary fracture.
Source
Revue de Chirurgie Orthopédique et Réparatrice de l'Appareil Moteur, num. 6, pp. 561-565 p.
Editeur
Elsevier
