Gracilis tendon harvesting using the posterior approach for anatomical ankle ligament reconstruction: A rapid and reliable technique with minimal neurological complications.
Maria Khvesyuk, Alexis Nogier, Floris van Rooij, Philippe Beaudet
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引用次数: 0
Abstract
Purpose: To report donor site morbidity following gracilis harvesting using a posterior approach for anatomic ankle ligament reconstruction.
Methods: Between January 2023 and March 2025, 33 patients underwent anatomic ankle ligament reconstruction with a gracilis autograft for chronic ankle instability. In 2 patients, it was not possible to harvest the gracilis due to obesity, leaving 31 patients for assessment.
Results: The remaining 31 patients comprised 12 males, and 19 females, were aged 36.8 ± 12.6 (range, 17-60) with a BMI of 27.1 ± 4.4 (range, 18-37). Of the 31 patients, the gracilis was harvest with the knee flexed in 30 (97%), and knee extended in 1 (3%). At a follow-up of 5.1 ± 3.8 months, 1 patient reported neuropathy of the saphenous nerve, and 5 reported discomfort around the donor-site, which resolved in 3.
Conclusion: Gracilis harvesting using the posterior approach is a safe technique with minimal complications and donor-site morbidity.
期刊介绍:
Foot and Ankle Surgery is essential reading for everyone interested in the foot and ankle and its disorders. The approach is broad and includes all aspects of the subject from basic science to clinical management. Problems of both children and adults are included, as is trauma and chronic disease. Foot and Ankle Surgery is the official journal of European Foot and Ankle Society.
The aims of this journal are to promote the art and science of ankle and foot surgery, to publish peer-reviewed research articles, to provide regular reviews by acknowledged experts on common problems, and to provide a forum for discussion with letters to the Editors. Reviews of books are also published. Papers are invited for possible publication in Foot and Ankle Surgery on the understanding that the material has not been published elsewhere or accepted for publication in another journal and does not infringe prior copyright.