Macrotraumatic extensor mechanism complications do occur after central third patellar tendon harvest for anterior cruciate ligament (ACL) reconstruction and include intraor postoperative patella fracture and patellar tendon rupture. These are significant complications that often require additional surgery. Intraoperative precision when harvesting the patellar tendon, bone grafting the donor sit...

PURPOSE Delayed healing is a common problem whenever tendon allografts are used for tendon or ligament reconstruction. Repopulating the allograft with host cells may accelerate tendon regeneration, but cell penetration into the allograft tendon is limited. Processing the tendon surface with slits that guide cells into the allograft substrate may improve healing. The purpose of this study was to...

©2006 British Editorial Society of Bone and Joint Surgery doi:10.1302/0301-620X.88B8. 17555 $2.00 J Bone Joint Surg [Br] 2006;88-B:988-92. Tendon allografts play an important role in tendon and ligament reconstruction, particularly where there is a shortage of suitable available local tissue. Although currently used predominantly for ligament reconstruction around the knee, 1-8 they have occasi...

In the rare cases with serious damage of the Medial Collateral Ligament (MCL) of the knee requiring surgical treatment, ligament remnants may be inadequate for a good repair. In such cases, reconstruction should be performed and technical options may be limited. We used an Achilles tendon allograft and applied it using the Pulvertaft weave technique for tendon repair. We found no previous repor...

The gracilis and semitendinosus tendons remain popular grafts for many reconstructive procedures, including anterior cruciate ligament reconstruction. Surgeons who use other grafts for ACL reconstruction should have the hamstring tendon techniques in their arsenal in the event other grafts are unavailable or undesirable. Detailed knowledge of the anatomy of the medial side of the knee is paramo...

BACKGROUND Calcium phosphate (CaP)-hybridization of tendon grafts has been shown to improve tendon-to-bone healing. The purpose of this study was to clarify the influence of different tendon graft placement methods on tendon-to-bone healing using CaP-hybridized tendon grafts in anterior cruciate ligament (ACL) reconstructions in rabbits. METHODS We compared two methods of tendon graft placeme...

We describe three patients in whom the tibial nerve was used, in mistake for the plantaris tendon, to repair a ruptured calcaneal tendon. The tendon repair was successful in all cases, but despite attempted reconstruction of the nerve, no patient had any motor recovery although two regained some protective sensation.

We present a case of disruption of the posterolateral corner of the knee with avulsion of the tendon of biceps femoris. Repair and reconstruction included an allogenic tendon graft to replace the posterior cruciate ligament. Surgery was followed by a complete common peroneal nerve palsy. Revision surgery revealed that the nerve had been displaced anteriorly by avulsion of the biceps tendon and ...

We report the incidental discovery of a flexor carpi radialis brevis tendon, a rare anatomical variant identified during a surgical procedure. Magnetic resonance imaging of the contralateral side helped to delineate the anatomy of the flexor carpi radialis tendon and to differentiate the flexor carpi radialis brevis tendon from it. We describe the use of this rare tendon in ligament reconstruct...

Presented is a three to eight year follow up of reefing of the posterior cruciate in 20 cases, and reconstruction of the posterior cruciate with a patellar tendon, quadriceps tendon flap as a "reversed Jones' procedure" in 10 cases. Using the reefing procedure, there were six excellent results, ten acceptable, and four poor results. The reconstruction resulted in no excellent results, six accep...