What is a notable disadvantage of using a patellar tendon graft for ACL repair?

Choosing a patellar tendon graft for ACL repair indeed has notable disadvantages, and one significant concern is the potential delay in rehabilitation. This is primarily due to the nature of the graft itself; harvesting the patellar tendon can lead to increased pain and discomfort at the donor site. As a result, patients may experience difficulty with knee extension and overall function post-surgery, which can slow their return to normal activities and participation in rehabilitation programs.

Additionally, the healing process may take longer when utilizing a patellar tendon graft compared to other graft options. This is because the patellar tendon undergoes significant stress during the recovery period, which can affect the rate of recovery and necessitate a more cautious and gradual approach to rehabilitation.

In summary, while other factors concerning complications, cost, and healing time are relevant in the decision-making process, the potential for delayed rehabilitation stands out as a critical disadvantage of using a patellar tendon graft for ACL repair. This aspect is essential for clinicians to consider when discussing options with patients and planning their postoperative care for optimal recovery and functional outcomes.