Saphenous neuralgia after arthroscopically assisted anterior cruciate ligament reconstruction with a semitendinosus and gracilis tendon graft

Bertram, Ch.; Porsch, M.; Hackenbroch, M. H.; Terhaag, D.

doi:10.1053/jars.2000.4820

Cited by 74 publications

(60 citation statements)

References 27 publications

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“…Bertram et al [8] in a case report described saphenous neuralgia after arthroscopically assisted ACL reconstruction using semitendinous and gracilis tendons. Eriksson [23] as well as Ejerhed et al [20] have shown that the area of disturbed sensitivity after harvesting either semitendinosus or patellar tendon autografts is comparable.…”

Section: Knee Surgery and Sensory Nerve Complicationsmentioning

confidence: 98%

Iatrogenic Anterior Knee Pain with Special Emphasis on the Clinical, Radiographical, Histological, Ultrastructural and Biochemical Aspects After Anterior Cruciate Ligament Reconstruction Using Ipsilateral Autografts

Kartus

Ejerhed

Movin

2010

Patellofemoral Pain, Instability, and Arthritis

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At the present time, arthroscopic ACL reconstruction is one of the most common surgical procedures in sports medicine. Every year, only in Sweden, approximately 4,000 procedures are performed according to the Swedish National ACL Register (www.aclregister. nu). After the introduction of the arthroscopic technique and the opportunity to perform reproducible replacements of the ruptured ACL, the results in terms of restored laxity and a return to sports activities have generally been found to be good. However, persistent donor-site morbidity such as tenderness, anterior knee pain, disturbance in anterior knee sensitivity and the inability to kneel and knee-walk is still a problem and is present in approximately 40-60%, of patients who have undergone arthroscopic ACL reconstruction using patellar tendon autografts [44]. Despite efforts to utilize synthetic materials [21] and allografts [36], the use of autografts probably remains the best option for the replacement of the torn ACL. Common autograft alternatives for reconstruction or augmentation of the ACL include the use of the hamstring tendons [11], the patellar tendon [22] and the quadriceps tendon [18, 32].The amount of information about the donor site after the use of patellar tendon autografts is fairly extensive. Recently the amount of information about donor-site problems following the use of hamstring autografts has increased. The information describing the problems, which can occur after ACL reconstruction using quadriceps tendon autografts, has also increased recently.The purpose of this work is to give an overview of the clinical, radiographic, histological, ultrastructural and biochemical aspects of the donor site and its problems after ACL reconstruction using patellar tendon, hamstring tendon and quadriceps tendon autografts. Postoperative Restriction in Range of Motion and Loss of StrengthThere appears to be agreement in the literature that the restoration of full extension compared with the noninjured side after ACL reconstruction is essential in order

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Section: Knee Surgery and Sensory Nerve Complicationsmentioning

confidence: 98%

Iatrogenic Anterior Knee Pain with Special Emphasis on the Clinical, Radiographical, Histological, Ultrastructural and Biochemical Aspects After Anterior Cruciate Ligament Reconstruction Using Ipsilateral Autografts

Kartus

Ejerhed

Movin

2010

Patellofemoral Pain, Instability, and Arthritis

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“…Meticulous soft-tissue dissection is performed to minimize the risk of injury to the saphenous nerve and sartorial and infrapatellar branches. 23,24 The sartorial fascia is incised anterior to the medial epicondyle and the underlying gracilis and semitendinosus tendons. The pes tendons are retracted posteriorly to allow visualization of the sMCL on the tibial surface.…”

Section: Operative Strategy For Acute Medial Ligamentous Repairmentioning

confidence: 99%

Management of Acute Combined ACL-Medial and Posteromedial Instability of the Knee

Medvecky¹,

Tomaszewski

2015

Sports Medicine and Arthroscopy Review

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Medial collateral ligament (MCL) injuries are the most common ligamentous injury of the knee. The extent of injury can range from a minor first-degree (1-degree) sprain to an extensive third-degree (3-degree) sprain that can propagate across the knee, rupturing one or both cruciate ligaments, and result in a knee subluxation or dislocation. A common pattern involves the combined anterior cruciate ligament (ACL) and MCL injury that is the focus of this chapter. The vast majority of these combined medial-sided injuries are treated nonoperatively with delayed reconstruction of the ACL injury in athletically active individuals. The MCL and associated medial structures are carefully assessed on physical examination, and classification of injury is based upon abnormal limits of joint motion. In vitro cadaveric biomechanical testing has given us a better understanding of ligament deficiency and altered joint motion. Consistency in terminology is necessary for proper classification of injury and reproducible categorization of injury patterns to be able to compare both nonoperative and operative treatment of various injury patterns.

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“…Bertram et al 26 reported that the incidence of AKP is lower with SG (14%) than with BTB (47%). These data have been supported by Eriksson 23 who has shown in prospective randomized studies that patients operated with SG autografts have fewer AKP and less donor-site morbidity than those using BTB, both at short and at long term.…”

Section: All Authors Contributed To Conception and Design Manuscriptmentioning

confidence: 99%

Anterior knee pain and sensitivity after anterior cruciate ligament: its impact on sports

Oliveira¹,

Fonseca²,

Noronha³

2013

OA Orthopaedics

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Saphenous neuralgia after arthroscopically assisted anterior cruciate ligament reconstruction with a semitendinosus and gracilis tendon graft

Cited by 74 publications

References 27 publications

Iatrogenic Anterior Knee Pain with Special Emphasis on the Clinical, Radiographical, Histological, Ultrastructural and Biochemical Aspects After Anterior Cruciate Ligament Reconstruction Using Ipsilateral Autografts

Iatrogenic Anterior Knee Pain with Special Emphasis on the Clinical, Radiographical, Histological, Ultrastructural and Biochemical Aspects After Anterior Cruciate Ligament Reconstruction Using Ipsilateral Autografts

Management of Acute Combined ACL-Medial and Posteromedial Instability of the Knee

Anterior knee pain and sensitivity after anterior cruciate ligament: its impact on sports

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