Relationship between peri-incisional dysesthesia and the vertical and oblique incisions on the hamstrings harvest in anterior cruciate ligament reconstruction
ABSTRACT OBJECTIVE: To compare the incidence of peri-incisional dysesthesia according to the skin incision technique for hamstring tendon graft harvest in anterior cruciate ligament reconstruction. METHODS: Thirty-three patients with ACL rupture were separated in two groups: group 1, with 19 patients submitted to the oblique skin incision to access the hamstrings and group 2-14 patients operated by vertical skin incision technique. The selected patients were assessed after surgery. Demographic data and prevalence of dysesthesia was measured by digital pressure around the skin incision and classified according to the Highet scale. RESULTS: The total rate of dysesthesia was 42% (14 patients). Five patients (26%) on the oblique incision group reported dysesthesia symptoms. On the group submitted to the vertical incision technique, the involvement was 64% (nine patients). On the 33 knees evaluated, the superior lateral area was the most affected skin region, while the superior medial and inferior medial regions were affected in only one patient (7.1%). No statistical differences between both groups were observed regarding patients' weight, age, and height¸ as well as skin incision length. CONCLUSION: Patients who underwent reconstruction of the anterior cruciate ligament using the oblique access technique had five times lower incidence of peri-incisional dysesthesia when compared with those in whom the vertical access technique was used.
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Digital revista |
| Language: | English |
| Published: |
Sociedade Brasileira de Ortopedia e Traumatologia
2016
|
| Online Access: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162016000600667 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| id |
oai:scielo:S0102-36162016000600667 |
|---|---|
| record_format |
ojs |
| spelling |
oai:scielo:S0102-361620160006006672016-12-19Relationship between peri-incisional dysesthesia and the vertical and oblique incisions on the hamstrings harvest in anterior cruciate ligament reconstructionLeite,Marcos LaubeCunha,Fernando Amaral daCosta,Bruno Quintão Martins daAndrade,Rodrigo MouraDiniz Junior,Jose HenriqueTemponi,Eduardo Frois Anterior cruciate ligament Reconstruction Dysesthesia ABSTRACT OBJECTIVE: To compare the incidence of peri-incisional dysesthesia according to the skin incision technique for hamstring tendon graft harvest in anterior cruciate ligament reconstruction. METHODS: Thirty-three patients with ACL rupture were separated in two groups: group 1, with 19 patients submitted to the oblique skin incision to access the hamstrings and group 2-14 patients operated by vertical skin incision technique. The selected patients were assessed after surgery. Demographic data and prevalence of dysesthesia was measured by digital pressure around the skin incision and classified according to the Highet scale. RESULTS: The total rate of dysesthesia was 42% (14 patients). Five patients (26%) on the oblique incision group reported dysesthesia symptoms. On the group submitted to the vertical incision technique, the involvement was 64% (nine patients). On the 33 knees evaluated, the superior lateral area was the most affected skin region, while the superior medial and inferior medial regions were affected in only one patient (7.1%). No statistical differences between both groups were observed regarding patients' weight, age, and height¸ as well as skin incision length. CONCLUSION: Patients who underwent reconstruction of the anterior cruciate ligament using the oblique access technique had five times lower incidence of peri-incisional dysesthesia when compared with those in whom the vertical access technique was used.info:eu-repo/semantics/openAccessSociedade Brasileira de Ortopedia e TraumatologiaRevista Brasileira de Ortopedia v.51 n.6 20162016-12-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162016000600667en10.1016/j.rboe.2016.10.005 |
| institution |
SCIELO |
| collection |
OJS |
| country |
Brasil |
| countrycode |
BR |
| component |
Revista |
| access |
En linea |
| databasecode |
rev-scielo-br |
| tag |
revista |
| region |
America del Sur |
| libraryname |
SciELO |
| language |
English |
| format |
Digital |
| author |
Leite,Marcos Laube Cunha,Fernando Amaral da Costa,Bruno Quintão Martins da Andrade,Rodrigo Moura Diniz Junior,Jose Henrique Temponi,Eduardo Frois |
| spellingShingle |
Leite,Marcos Laube Cunha,Fernando Amaral da Costa,Bruno Quintão Martins da Andrade,Rodrigo Moura Diniz Junior,Jose Henrique Temponi,Eduardo Frois Relationship between peri-incisional dysesthesia and the vertical and oblique incisions on the hamstrings harvest in anterior cruciate ligament reconstruction |
| author_facet |
Leite,Marcos Laube Cunha,Fernando Amaral da Costa,Bruno Quintão Martins da Andrade,Rodrigo Moura Diniz Junior,Jose Henrique Temponi,Eduardo Frois |
| author_sort |
Leite,Marcos Laube |
| title |
Relationship between peri-incisional dysesthesia and the vertical and oblique incisions on the hamstrings harvest in anterior cruciate ligament reconstruction |
| title_short |
Relationship between peri-incisional dysesthesia and the vertical and oblique incisions on the hamstrings harvest in anterior cruciate ligament reconstruction |
| title_full |
Relationship between peri-incisional dysesthesia and the vertical and oblique incisions on the hamstrings harvest in anterior cruciate ligament reconstruction |
| title_fullStr |
Relationship between peri-incisional dysesthesia and the vertical and oblique incisions on the hamstrings harvest in anterior cruciate ligament reconstruction |
| title_full_unstemmed |
Relationship between peri-incisional dysesthesia and the vertical and oblique incisions on the hamstrings harvest in anterior cruciate ligament reconstruction |
| title_sort |
relationship between peri-incisional dysesthesia and the vertical and oblique incisions on the hamstrings harvest in anterior cruciate ligament reconstruction |
| description |
ABSTRACT OBJECTIVE: To compare the incidence of peri-incisional dysesthesia according to the skin incision technique for hamstring tendon graft harvest in anterior cruciate ligament reconstruction. METHODS: Thirty-three patients with ACL rupture were separated in two groups: group 1, with 19 patients submitted to the oblique skin incision to access the hamstrings and group 2-14 patients operated by vertical skin incision technique. The selected patients were assessed after surgery. Demographic data and prevalence of dysesthesia was measured by digital pressure around the skin incision and classified according to the Highet scale. RESULTS: The total rate of dysesthesia was 42% (14 patients). Five patients (26%) on the oblique incision group reported dysesthesia symptoms. On the group submitted to the vertical incision technique, the involvement was 64% (nine patients). On the 33 knees evaluated, the superior lateral area was the most affected skin region, while the superior medial and inferior medial regions were affected in only one patient (7.1%). No statistical differences between both groups were observed regarding patients' weight, age, and height¸ as well as skin incision length. CONCLUSION: Patients who underwent reconstruction of the anterior cruciate ligament using the oblique access technique had five times lower incidence of peri-incisional dysesthesia when compared with those in whom the vertical access technique was used. |
| publisher |
Sociedade Brasileira de Ortopedia e Traumatologia |
| publishDate |
2016 |
| url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162016000600667 |
| work_keys_str_mv |
AT leitemarcoslaube relationshipbetweenperiincisionaldysesthesiaandtheverticalandobliqueincisionsonthehamstringsharvestinanteriorcruciateligamentreconstruction AT cunhafernandoamaralda relationshipbetweenperiincisionaldysesthesiaandtheverticalandobliqueincisionsonthehamstringsharvestinanteriorcruciateligamentreconstruction AT costabrunoquintaomartinsda relationshipbetweenperiincisionaldysesthesiaandtheverticalandobliqueincisionsonthehamstringsharvestinanteriorcruciateligamentreconstruction AT andraderodrigomoura relationshipbetweenperiincisionaldysesthesiaandtheverticalandobliqueincisionsonthehamstringsharvestinanteriorcruciateligamentreconstruction AT dinizjuniorjosehenrique relationshipbetweenperiincisionaldysesthesiaandtheverticalandobliqueincisionsonthehamstringsharvestinanteriorcruciateligamentreconstruction AT temponieduardofrois relationshipbetweenperiincisionaldysesthesiaandtheverticalandobliqueincisionsonthehamstringsharvestinanteriorcruciateligamentreconstruction |
| _version_ |
1756397760526942208 |