Related Experiment Video
Updated: Jun 28, 2026
Harvesting of Peroneus Longus Tendon Autograft
Published on: September 2, 2025
[Patellar fracture after anterior cruciate ligament reconstruction using a bone patellar tendon bone transplant: a
J Chouteau1, D Laptoiu, J-L Lerat
1Service de chirurgie orthopédique, de traumatologie et de médecine du sport, centre hospitalier Lyon-Sud, chemin du Grand-Revoyer, 69495 Pierre Bénite cedex, France. juchout@club-internet.fr
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.
