{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T20:28:40Z","timestamp":1777926520056,"version":"3.51.4"},"reference-count":19,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2009,2,13]],"date-time":"2009-02-13T00:00:00Z","timestamp":1234483200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2009,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Although several alternative autografts with reduced morbidity of harvest site have been introduced, no donor site is free of morbidity concerns. The authors report on ankle status after autogenous Achilles tendon harvesting with a minimum 10\u2010year follow\u2010up. From October 1994 to October 1996, a consecutive series of 47 ankles underwent harvesting of the medial third or half of the ipsilateral autogenous Achilles tendon for primary anterior cruciate ligament reconstruction. Donor site statuses were evaluated using a modified Thermann's scale. Postoperative isokinetic muscle strength testing was performed, and magnetic resonance images of donor sites were available for selected patients. Thirty\u2010three ankles in the 32 patients were followed for more than 10 years. There were 27\u00a0men (84%) and 5 women (16%) with a mean age of 31 years (range 16\u201352 years) at the time of surgery. The mean duration of follow\u2010up was 12 years and 1\u00a0month (range 10 years and 5\u00a0months to 13 years and 4\u00a0months). Mean postoperative modified Thermann's scale score was 87 (range 45\u201395; SD 14.3). Twenty\u2010five (76%) ankles achieved very good or good results. A slight decrease in calf circumference &lt;1\u00a0cm was seen in the ten ankles, 1\u20132\u00a0cm in the four ankles. Nine ankles were mildly hypersensitive to meteorological changes. Peak torque of ankle plantar flexion was slightly lower on the index limb at both velocities in nine selected patients who carried out performance tests. However, there were no significant differences (5.2% at 30\u00b0\/s and 2.7% at 120\u00b0\/s, <jats:italic>P<\/jats:italic> = n.s. and <jats:italic>P<\/jats:italic> = n.s.). Of the 12 available follow\u2010up magnetic resonance images, the average cross\u2010sectional area of the remaining tendon was 82.01\u00a0mm<jats:sup>2<\/jats:sup> (range 69.05\u2013107.35; SD 10.3), and their average thickness was 7.4\u00a0mm (range 6\u201310.35; SD 1.1). After a minimum 10\u2010year follow\u2010up, the harvesting of autogenous Achilles tendons was not found to significantly jeopardize ankle status. However, it also could not be independent of donor morbidity as an alternative. The level of evidence was retrospective level IV, as a therapeutic study.<\/jats:p>","DOI":"10.1007\/s00167-009-0729-9","type":"journal-article","created":{"date-parts":[[2009,2,13]],"date-time":"2009-02-13T06:02:13Z","timestamp":1234504933000},"page":"631-638","source":"Crossref","is-referenced-by-count":3,"title":["Ankle morbidity after autogenous Achilles tendon harvesting for anterior cruciate ligament reconstruction"],"prefix":"10.1002","volume":"17","author":[{"given":"Jai Gon","family":"Seo","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery Samsung Medical Center Sungkyunkwan University School of Medicine 50 Ilwon\u2010Dong, Kangnam\u2010Ku 135\u2010710 Seoul Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jae Chul","family":"Yoo","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Samsung Medical Center Sungkyunkwan University School of Medicine 50 Ilwon\u2010Dong, Kangnam\u2010Ku 135\u2010710 Seoul Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Young Wan","family":"Moon","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Samsung Medical Center Sungkyunkwan University School of Medicine 50 Ilwon\u2010Dong, Kangnam\u2010Ku 135\u2010710 Seoul Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Moon Jong","family":"Chang","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Samsung Medical Center Sungkyunkwan University School of Medicine 50 Ilwon\u2010Dong, Kangnam\u2010Ku 135\u2010710 Seoul Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jong Won","family":"Kwon","sequence":"additional","affiliation":[{"name":"Department of Radiology Samsung Medical Center Sungkyunkwan University School of Medicine 50 Ilwon\u2010Dong, Kangnam\u2010Ku Seoul Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jong Hyun","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Samsung Medical Center Sungkyunkwan University School of Medicine 50 Ilwon\u2010Dong, Kangnam\u2010Ku 135\u2010710 Seoul Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mu Hyun","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Samsung Medical Center Sungkyunkwan University School of Medicine 50 Ilwon\u2010Dong, Kangnam\u2010Ku 135\u2010710 Seoul 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