Bone graft procurement for patellar defect grafting in anterior cruciate ligament reconstruction

Bone grafting of the patellar defect from harvest of the central third bone-patellar tendon-bone autograft in anterior cruciate ligament (ACL) reconstruction has been advocated by some authors to decrease the risk of patellar fracture from the existing stress riser as well as decrease postoperative donor site pain. We present a method of harvesting bone reamings during ACL reconstruction that is simple, efficient, and maximizes the amount of bone that can be collected.