Injury of the infrapatellar branch of the saphenous nerve due to hamstring graft harvest: a prospective comparative study of two different incisions

Basit Öğe Kaydı
dc.contributor.authorSipahioğlu, Serkan
dc.contributor.authorZehir, Sinan
dc.contributor.authorSarıkaya, Baran
dc.contributor.authorLevent, Ali
dc.date.accessioned2019-05-13T08:58:48Z
dc.date.available2019-05-13T08:58:48Z
dc.date.issued2017
dc.departmentHitit Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü
dc.description.abstractPurpose: Sensory disturbance around the surgical incision due to injury of the infrapatellar branch of the saphenous nerve can be seen in the anterior cruciate ligament reconstruction. In this research, we aimed to compare the incidence, extent of sensory loss, its clinical effect, and natural course caused by two different skin incisions used for hamstring graft harvest. Methods: Vertical incision for 36 patients and oblique incision for 42 patients used for graft harvest were included in this study. Sensory loss areas were documented at 6th week, 3rd month and 6th month. Pin prick examination is used to detect the change in sensation. Digital photographs of hypaesthesia were taken and analysed by computer for area detection. The length of incision and subjective complain of sensory loss were also noted. Results: At 6th month, 77% (28/36) of the vertical incisions were associated with persistent sensory loss when compared to the oblique incision (45%, 19/42). The measured area of hypaesthesia was significantly higher in vertical incision (42.4 ± 22.3 cm2) than that in oblique incision (9.3 ± 15.3 cm2) at 6th month. The area of hypaesthesia gradually shrunk in size from distal to proximal in direction. Also, subjective cutaneous anaesthesia was higher in vertical incision (15/36, 41%) than oblique incision (6/41, 14%) at 6th month. Conclusion: Oblique incision with less risk of nerve damage is better for graft harvesting. Area of hypaesthesia gradually reduces with time and even recover totally. As a possible complication, nerve injury and its benign prognosis should be explained to the patient before surgery. © Journal of Orthopaedic Surgery 2017.
dc.identifier.citationSipahioğlu, S., Zehir, S., Sarıkaya, B., Levent, A. (2017). Injury of the infrapatellar branch of the saphenous nerve due to hamstring graft harvest: a prospective comparative study of two different incisions. Journal of Orthopaedic Surgery, 25(1).
dc.identifier.doi10.1177/2309499017690995
dc.identifier.issn1022-5536
dc.identifier.issue1en_US
dc.identifier.scopusqualityQ2
dc.identifier.urihttps://doi.org/10.1177/2309499017690995
dc.identifier.urihttps://hdl.handle.net/11491/1200
dc.identifier.volume25en_US
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherSAGE Publications Ltd
dc.relation.ispartofJournal of Orthopaedic Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectAnterior Cruciate Ligament Reconstructionen_US
dc.subjectParaesthesiaen_US
dc.subjectPeripheral Nerve Injuriesen_US
dc.titleInjury of the infrapatellar branch of the saphenous nerve due to hamstring graft harvest: a prospective comparative study of two different incisions
dc.typeArticle

Dosyalar

Orijinal paket
Listeleniyor 1 - 1 / 1
Küçük Resim
İsim:
zehirsinan.pdf
Boyut:
676.25 KB
Biçim:
Adobe Portable Document Format
Açıklama:
Tam Metin / Full Text
İndir

Koleksiyon

Scopus İndeksli Yayınlar Koleksiyonu
Makale Koleksiyonu
PubMed İndeksli Yayınlar Koleksiyonu