Bone-patellar tendon-bone graft via a single minimally-invasive approach versus a classical approach in anterior cruciate ligament reconstruction: A prospective study

Ioncu, Adrian; Mader, R.; Bonin, Nicolas; Ternamian, P.-J.; Dejour, David

doi:10.1016/j.otsr.2012.03.003

Cited by 5 publications

(2 citation statements)

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“…Harvesting the BPTB for ACL reconstruction can also be a source of hypoesthesia around the knee [28]. In 18 cadaver knees, there were 2 branches in 12 cases and 3 branches in 6 cases of the infrapatellar branches of the saphenous nerve (IPBSN) located between the proximal and distal part of the incision over the patellar tendon [6].…”

Section: Discussionmentioning

confidence: 99%

“…They concluded that keeping the branches of the medial saphenous nerve intact using a mini‐invasive technique would limit the hypoesthesia area [31, 52]. With this technique, Beaufils et al and Iocun et al [6, 28] showed a significant decrease in the incidence of infrapatellar branches of the saphenous nerve (IPBSN) injury, compared to classical approach, while involving a smaller area of hypoesthesia.…”

Section: Discussionmentioning

confidence: 99%

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Lower donor-site morbidity using QT autografts for ACL reconstruction

Mouarbes

Dagneaux²,

Olivier

et al. 2020

Knee Surg Sports Traumatol Arthrosc

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Purpose Comparing scar cosmesis and regional hypoesthesia at the incision site between quadriceps tendon (QT), bone–patellar tendon–bone (BPTB), and hamstring tendon (HT) for anterior cruciate ligament (ACL) reconstruction. Methods Ninety patients undergoing ACL reconstruction with QT, HT or BPTB were evaluated at 1‐year post‐op. Scar cosmesis was assessed using the patient and observer scar assessment scale (POSAS) and length of the incision. Sensory outcome was analyzed by calculating the area of hypoesthesia around the scar. The classical ACL reconstruction functional follow‐up was measured using the Lysholm score and KOOS. Results Concerning QT versus BPTB group, QT patients have a significantly lower mean POSAS (24.8 ± 6.3 vs. 39.6 ± 5.8; p < 0.0001), shorter mean incision (2.8 ± 0.4 cm vs. 6.4 ± 1.3 cm; p < 0.0001), lower extent of hypoesthesia (8.7 ± 5.1 cm2 vs. 88.2 ± 57 cm2; p < 0.0001), and better Lysholm score (90.1 ± 10.1 vs. 82.6 ± 13.5; n.s.). No significant difference was seen in KOOS (90.7 ± 7.2 vs. 88.4 ± 7.0; n.s.). Concerning QT versus HT group, no significant difference was found regarding mean POSAS score (24.8 ± 6.3 vs. 31.8 ± 6.2; n.s.), mean length of the incision (2.8 ± 0.4 cm vs. 2.5 ± 0.6 cm; n.s.), KOOS (90.7 ± 7.2 vs. 89.8 ± 8.2; n.s.) and mean Lysholm score (90.1 ± 10.1 vs. 87.8 ± 0.6; n.s.). The mean measured area of hypoesthesia was significantly higher in the HT group (70.3 ± 77.1 cm2 vs. 8.7 ± 5.1 cm2; p < 0.0001). Conclusion Quadriceps tendon harvesting technique has the safest incision by causing less sensory loss compared to BPTB and HT. It also has the advantage of a short incision with more cosmetic scar compared to BPTB, with no difference compared to HT. However, no significant difference in terms of functional outcome was shown between the three autografts. These findings provide surgeons evidence about their clinical practice and help with graft choice decisions. Level of evidence III.

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Section: Discussionmentioning

confidence: 99%