No difference in sensory outcome between vertical and oblique incisions for hamstring graft harvest during ACL reconstruction

Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA
Mohamed M F SharabySuwailim Al-Ghannami

Abstract

To compare the incidence, extent of sensory loss, its clinical effect and natural course caused by sensory nerve injury, during two different skin incisions used for autogenous hamstring graft harvest during ACL reconstruction. This randomized prospective study was carried out on 84 patients, divided into two groups, all of them underwent arthroscopic ACL reconstruction using hamstring tendon graft with two incisions; a vertical incision used in 43 patients, and an oblique incision in 41 patients. The location and area of sensory loss were evaluated during follow-up as well as the degree of improvement and patient satisfaction. The average age in this study was 29.8 ± 7.2 in the vertical group and 29.9 ± 6.3 in the oblique group. Both semitendinosus and gracilles were harvested in 34 patients, semitendinosus in 49 patients and gracilles in one patient. In the vertical group, a higher incidence of sensory loss was recorded with 21 patients (51.2%), relative to the oblique group with 18 patients (41.9%). However, there was no statistically significant difference (p = n.s). Most of the sensory loss affected the distribution of the IPBSN (infrapatellar branch of saphenous nerve) in 27 patients (69.2%) in both groups, and to a lesse...Continue Reading

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Citations

Feb 6, 2020·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Dany MouarbesEtienne Cavaignac
Jul 5, 2019·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Signe Wisbech VangeMichael Rindom Krogsgaard

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