Park Chang, Jayakumar Prakash, Fox Michael
The Peripheral Nerve Injury Unit, Royal National Orthopaedic Hospital, London, United Kingdom.
JBJS Case Connect. 2019 Jul-Sep;9(3):e0350. doi: 10.2106/JBJS.CC.18.00350.
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.
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.
