Gracilis tendon harvesting using the posterior approach for anatomical ankle ligament reconstruction: A rapid and reliable technique with minimal neurological complications.

Authors

Maria Khvesyuk, Alexis Nogier, Floris van Rooij, Philippe Beaudet

Published in

Foot and ankle surgery : official journal of the European Society of Foot and Ankle Surgeons. Sep 10, 2026. Epub Sep 10, 2026.

Abstract

To report donor site morbidity following gracilis harvesting using a posterior approach for anatomic ankle ligament reconstruction.
Between January 2023 and March 2025, 33 patients underwent anatomic ankle ligament reconstruction with a gracilis autograft for chronic ankle instability. In 2 patients, it was not possible to harvest the gracilis due to obesity, leaving 31 patients for assessment.
The remaining 31 patients comprised 12 males, and 19 females, were aged 36.8 ± 12.6 (range, 17-60) with a BMI of 27.1 ± 4.4 (range, 18-37). Of the 31 patients, the gracilis was harvest with the knee flexed in 30 (97%), and knee extended in 1 (3%). At a follow-up of 5.1 ± 3.8 months, 1 patient reported neuropathy of the saphenous nerve, and 5 reported discomfort around the donor-site, which resolved in 3.
Gracilis harvesting using the posterior approach is a safe technique with minimal complications and donor-site morbidity.

PMID:
42791182
Bibliographic data and abstract were imported from PubMed on 26 Sep 2026.

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