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Updated: Jan 21, 2026

Author Spotlight: Implementing the Enhanced Recovery After Surgery Concept in Rehabilitation Following Anterior Cruciate Ligament Reconstruction
Published on: March 1, 2024
Peroneal Nerve Injury Arising from Harvesting a Contralateral Hamstring Autograft for Cruciate Ligament
Chang Park1, Prakash Jayakumar, Michael Fox
1The Peripheral Nerve Injury Unit, Royal National Orthopaedic Hospital, London, United Kingdom.
Case:
A 22-year-old man underwent a posterior cruciate ligament reconstruction following a sporting injury. Postoperatively, he developed a new foot drop on the hamstring harvest side that was contralateral to the ligamentous injury. On surgical exploration, a lesion in the peroneal nerve fascicles of the sciatic nerve, 20 cm from the fibula head, was neurolyzed with improvement in the foot drop.
Conclusions:
Sciatic nerve injury is a rare complication when harvesting the hamstring. Care of orientation of the tendon stripper blade and direction of harvest is required to avoid injury to the sciatic nerve.
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