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Peroneal Nerve Injury Arising from Harvesting a Contralateral Hamstring Autograft for Cruciate Ligament Reconstruction

A Case Report

Park, Chang MBBS, BSc(Hons), MRCS1; Jayakumar, Prakash MBBS, BSc(Hons), MRCS, FMSEM, DPhil1; Fox, Michael MBBS, BSc(Hons), FRCS(Orth)1

doi: 10.2106/JBJS.CC.18.00350
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Disclosures

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.

1The Peripheral Nerve Injury Unit, Royal National Orthopaedic Hospital, London, United Kingdom

E-mail address for C. Park: Changpark3@gmail.com

Investigation was performed at the Royal National Orthopaedic Hospital, London, United Kingdom

Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/A832).

Copyright © 2019 by The Journal of Bone and Joint Surgery, Incorporated
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