Injury to the infrapatellar branch of the saphenous nerve in ACL reconstruction with the hamstrings technique: Clinical and electrophysiological study

Figueroa, David; Calvo, Rafael; Vaisman, Alex; Campero, Mario; Moraga, Claudio

doi:10.1016/j.knee.2008.05.002

Cited by 81 publications

(85 citation statements)

References 24 publications

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“…This nerve injury is a complication described for both the BPTB19 and the hamstring graft 35 36. For BPTB harvest the risk of damage to this nerve has been shown to be significantly reduced through a two-incision subcutaneous technique 32.…”

Section: Perceived Disadvantagesmentioning

confidence: 99%

Why bone–patella tendon–bone grafts should still be considered the gold standard for anterior cruciate ligament reconstruction

Carmichael

Cross

2009

Br J Sports Med

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Section: Perceived Disadvantagesmentioning

confidence: 99%

Why bone–patella tendon–bone grafts should still be considered the gold standard for anterior cruciate ligament reconstruction

Carmichael

Cross

2009

Br J Sports Med

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“…13 The prevalence of IPBSN injury secondary to ACL surgery varies among different studies depending on the type of incision and graft. [14][15][16] Injuries to the SN and its branches are well reported with HS graft harvest 17 but remained underreported for traditional central third patellar tendon harvesting.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and clinical implications of nerve injury during bone patellar tendon bone harvesting for anterior cruciate ligament reconstruction

Haviv

Yassin

Rath

et al. 2017

J Orthop Surg (Hong Kong)

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Purpose: Tendon harvesting for anterior cruciate ligament (ACL) reconstruction often injure sensory branches of the saphenous nerve (SN). Our purpose was to estimate the prevalence and postoperative course of sensory nerve injuries in bone patellar tendon bone (BPTB) autograft harvesting for ACL reconstruction. Methods: Between 2012 and 2014, patients who had primary ACL with BPTB autograft were included (n ¼ 60) and interviewed specifically for sensory loss and its recovery. The surface area of sensory loss was documented. Evaluation also included demographic details, level of activity, and description of postoperative sensation disturbances. Results: The mean postoperative follow-up time was 24 + 14 months. At the last follow-up, 46 (77%) patients reported on postoperative reduced sensation; however, only 35 (58%) remained with sensation loss. The most involved region of reduced sensation was of the infrapatellar branch of the SN. Three patients claimed they regret to have had the surgery specifically because of sensation loss and kneeling difficulties, while all others did not. Conclusion: Primary ACL reconstruction using the midline incision for harvesting the middle third of the patellar tendon autograft has a high prevalence of sensory nerve injury with a minor possibility for complete recovery within the first year. However, sensory loss secondary to this injury does not impair normal daily activities in these patients.

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“…Mochida and Kikuchi (1995) [11] reported sensory disturbances of the IPBSN following arthroscopy of the knee joint in 22.2% of the cases [6]. Patients undergoing anterior cruciate ligament (ACL) reconstruction are at risk of IPBSN injury at a rate of 30-77% [9].…”

Section: Discussionmentioning

confidence: 99%

Transtendinous course of the infrapatellar branch of saphenous nerve. A contribution to the aetiology of entrapment neuropathy and modification of the existing classification

et al. 2016

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Injury to the infrapatellar branch of the saphenous nerve in ACL reconstruction with the hamstrings technique: Clinical and electrophysiological study

Cited by 81 publications

References 24 publications

Why bone–patella tendon–bone grafts should still be considered the gold standard for anterior cruciate ligament reconstruction

Why bone–patella tendon–bone grafts should still be considered the gold standard for anterior cruciate ligament reconstruction

Prevalence and clinical implications of nerve injury during bone patellar tendon bone harvesting for anterior cruciate ligament reconstruction

Transtendinous course of the infrapatellar branch of saphenous nerve. A contribution to the aetiology of entrapment neuropathy and modification of the existing classification

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