IR@PKUHSC  > 北京大学第三临床医学院  > 运动医学研究所
学科主题临床医学
Relationship between different skin incisions and the injury of the infrapatellar branch of the saphenous nerve during anterior cruciate ligament reconstruction
Luo Hao; Yu Jia-Kuo; Ao Ying-Fang; Yu Chang-Long; Peng Li-Bin; Lin Chun-Yang; Zhang Ji-Ying; Fu Xin
关键词Anterior Cruciate Ligament Reconstructive Surgical Procedures Saphenous Nerve Nerve Injury
刊名CHINESE MEDICAL JOURNAL
2007-07-05
120期:13页:1127-1130
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Medicine, General & Internal
研究领域[WOS]General & Internal Medicine
关键词[WOS]GRACILIS TENDONS ; PATELLAR TENDON ; SEMITENDINOSUS ; KNEE ; SURGERY ; HARVEST ; REPAIR ; ARTHROSCOPY ; GRAFT
英文摘要

Background After anterior cruciate ligament (ACL) reconstruction, some patients suffered from sensory disturbance around the surgical incision of the leg. This research was aimed to investigate the relationship between the different skin incisions and the injury of the infrapatellar branch of the saphenous nerve (IPBSN) post ACL reconstruction.

Methods ACL reconstructions were performed with quadruple hamstring tendon for 60 patients. Sensory disturbance around the skin incision was followed up at an average of 14.5 4.7 months post operation. Among the 60 patients, vertical incision for 35 patients and oblique incision for 25 patients were used for graft taking during ACL reconstruction. The lengths of the incisions were measured. The patients were asked to mark the sensory disturbance zone at follow up time, and then the marked area was measured. The IPBSN of 15 cadaver knees were anatomized. The distance between the IPBSN and the upper edge of the pes anserinus tendon at the middle point of the incision was measured. Independent-samples t-test, chi-square and Mann-Whitney tests were used for statistical analyses.

Results The patients′ age (P=0.329), the follow-up time (P=0.681), and the incision length (P=0.732) between the two groups had no significant difference. Twenty-three patients (65.7%) in the vertical incision group had IPBSN injury compared with 6 patients (24.0%) in oblique incision group (0.002). The average sensory disturbance area in vertical ;incision group ((48.0 +/- 75.3) cm(2)) was significantly larger (P=0.004) than that in the oblique group ((8.4 +/- 19.4) cm(2)). The anatomy measurement showed the average distance between IPBSN and the upper edge of the pes anserinus tendon was 0.6 cm at the incision.

Conclusions Oblique incision with less risk of damage for IPBSN may be better for graft harvesting in ACL reconstruction. As the IPBSN is so near and parallel to the hamstring tendons, damage to the IPBSN is one of the potential complications for graft harvesting, regardless of the incision used. That′s why even in the oblique incision group, 24% patients also had sensory disturbance complication.

语种英语
WOS记录号WOS:000248102200002
引用统计
被引频次:16[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/56121
专题北京大学第三临床医学院_运动医学研究所
作者单位Peking Univ, Hosp 3, Inst Sports Med, Beijing 100083, Peoples R China
推荐引用方式
GB/T 7714
Luo Hao,Yu Jia-Kuo,Ao Ying-Fang,et al. Relationship between different skin incisions and the injury of the infrapatellar branch of the saphenous nerve during anterior cruciate ligament reconstruction[J]. CHINESE MEDICAL JOURNAL,2007,120(13):1127-1130.
APA Luo Hao.,Yu Jia-Kuo.,Ao Ying-Fang.,Yu Chang-Long.,Peng Li-Bin.,...&Fu Xin.(2007).Relationship between different skin incisions and the injury of the infrapatellar branch of the saphenous nerve during anterior cruciate ligament reconstruction.CHINESE MEDICAL JOURNAL,120(13),1127-1130.
MLA Luo Hao,et al."Relationship between different skin incisions and the injury of the infrapatellar branch of the saphenous nerve during anterior cruciate ligament reconstruction".CHINESE MEDICAL JOURNAL 120.13(2007):1127-1130.
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