(2018) Injury to the infrapatellar branch of the saphenous nerve during ACL reconstruction with hamstring tendon autograft: A comparison between oblique and vertical incisions. Archives of Bone and Joint Surgery. pp. 52-56. ISSN 23454644 (ISSN)
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Abstract
Background: Injury to the infrapatellar branch of the saphenous nerve (IPBSN) is common after arthroscopic ACL reconstruction with hamstring tendon autograft, as reported in up to 88 of the cases. Due to close relationship between the IPBSN with pes anserine tendons insertion skin incision may sever IPBSN while harvesting gracillis and semitendinous tendons. As the IPBSN course at the anterior of knee is oblique, we hypothesized a parallel skin incision with nerve passage may decrease nerve injury. Methods: Vertical and oblique incisions were compared in 79 patients in this clinical trial. The sensory loss area and patients' complain of numbness were measured at 2 and 8 weeks as well as 6 months after surgery. Results: Both the sensory loss area and patients' complain of numbness decreased significantly in the oblique incision group (P < 0001). Conclusion: According to our findings, oblique incision is suggested instead of traditional vertical incision when hamstring tendons are being harvested in arthroscopic ACL reconstruction with hamstring tendon autograft. © 2018 by the archives of bone and joint surgery.
| Item Type: | Article |
|---|---|
| Keywords: | ACL reconstruction Hamstring graft harvest Infrapatellar branch of saphenous nerve Nerve injury Saphenous nerve adolescent adult anterior cruciate ligament reconstruction Article controlled study falling female football hamstring tendon human injury to the infrapatellar branch of the saphenous nerve intermethod comparison knee ligament major clinical study male oblique incision oblique ligament paresthesia randomized controlled trial semitendinous muscle sensory nerve skin incision sport injury surgical technique tendon graft traffic accident vertical incision |
| Divisions: | Faculty of Medicine > Departments of Clinical Sciences > Department of Orthopedic |
| Page Range: | pp. 52-56 |
| Journal or Publication Title: | Archives of Bone and Joint Surgery |
| Journal Index: | Scopus |
| Volume: | 6 |
| Number: | 1 |
| ISSN: | 23454644 (ISSN) |
| Depositing User: | Zahra Otroj |
| URI: | http://eprints.mui.ac.ir/id/eprint/8253 |
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