AI Article Synopsis
- The study aimed to evaluate the occurrence of injuries to the infrapatellar branch of the saphenous nerve (IPBSN) after ACL reconstruction using an oblique incision for hamstring graft.
- Out of 59 knees evaluated, 27 (45.7%) experienced sensory disorders post-surgery, with 92.6% of these cases persisting for six months, though only one knee had compromised daily activities.
- The results indicated that the oblique incision did not prevent IPBSN injuries, and there were no significant differences in sensitivity issues based on age, side affected, incision angle, or distances measured, though larger incisions were noted in those without sensitivity changes.
Article Abstract
Objective: To evaluate the incidence of injuries to the infrapatellar branch of the saphenous nerve (IPBSN) after anterior cruciate ligament reconstruction (ACLR) with an oblique incision for hamstring graft harvesting.
Methods: In total, 59 knees (from 57 patients) were evaluated in the follow-up of ACLR for six months. We drew a horizontal line parallel to the ground, passing through the most medial portion of the surgical incision and another, perpendicular to the first, starting at the tibial tuberosity (TT). We measured the length and angle of the cut, the distances from its most medial point to the perpendicular line, and from the TT to the horizontal line. Skin sensitivity was tested with a brush and the altered sensitivity area was measured. Patients were asked about difficulties in activities daily of living (ADL).
Results: A total of 27 knees (45.7%) had sensory disorders, which persisted until the sixth postoperative month in 92.6% of them. The ADL were compromised in one knee (3.7%). No significant differences were found between the groups with and without changes in sensitivity regarding age, affected side, incision angle, or measured distances. The incision size was larger in the group without alteration in sensitivity.
Conclusions: An oblique incision did not avoid IPBSN injuries. This condition rarely compromised the ADL.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11460665 | PMC |
| http://dx.doi.org/10.1590/1413-785220243204e277962 | DOI Listing |
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