The impact of sensory deficits after harvesting hamstrings autograft for ACL reconstruction

Verfasser / Beitragende:
[Eivind Inderhaug, Torbjørn Strand, Eirik Solheim]
Ort, Verlag, Jahr:
2015
Enthalten in:
Knee Surgery, Sports Traumatology, Arthroscopy, 23/4(2015-04-01), 1060-1064
Format:
Artikel (online)
ID: 605459142
LEADER caa a22 4500
001 605459142
003 CHVBK
005 20210128100232.0
007 cr unu---uuuuu
008 210128e20150401xx s 000 0 eng
024 7 0 |a 10.1007/s00167-014-2871-2  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00167-014-2871-2 
245 0 4 |a The impact of sensory deficits after harvesting hamstrings autograft for ACL reconstruction  |h [Elektronische Daten]  |c [Eivind Inderhaug, Torbjørn Strand, Eirik Solheim] 
520 3 |a Purpose: The aim of this study was threefold: to investigate the incidence of sensory deficits after harvesting hamstrings autografts, to localise and measure the area of altered sensibility and to investigate the impact of any sensory deficit on the patients daily life. Methods: A consecutive series of sixty-one patients were examined for sensory deficits related to harvest of hamstrings tendons 10years after having had an anterior cruciate ligament reconstruction. A neurological examination of the leg was performed to investigate for potential altered sensibility and to quantify the extent of the lesion. The patients answered the anterior knee symptoms (AKS) questionnaire and additional questions regarding impact on activities of daily life by any sensory deficit. Results: Eighty-five per cent of the examined patients had sensory deficits—experienced as numbness (78%) and paraesthesia (16%)—distal to the site of tendon harvesting. The mean affected area was 70 (SD 62)cm2. No patients experienced sensory deficit symptoms to such a degree that it affected their activities of daily life, but the group with sensory deficit had significantly more AKS than patients without sensory deficit, as evaluated by the AKS score (P=0.02). The most commonly reported complaints were related to strenuous activities and kneeling knee position. Conclusions: This long-term evaluation shows that sensory deficit after hamstring tendons harvesting affects a majority of patients and is probably permanent. Most patients reported this as being only mildly bothersome, but they have significantly more AKS as assessed by the AKS questionnaire. In clinical practice, patients should be counselled prior to tendon harvesting on the incidence and characteristic of the sensory deficit along with other possible peri- and postoperative complications. Level of evidence: Case series, Level IV. 
540 |a Springer-Verlag Berlin Heidelberg, 2014 
690 7 |a Anterior cruciate ligament  |2 nationallicence 
690 7 |a Hamstrings graft  |2 nationallicence 
690 7 |a Sensory deficit  |2 nationallicence 
690 7 |a Complication  |2 nationallicence 
700 1 |a Inderhaug  |D Eivind  |u Surgical Department, Haraldsplass Deaconess Hospital, Pb 6165, 5152, Bergen, Norway  |4 aut 
700 1 |a Strand  |D Torbjørn  |u Surgical Department, Haraldsplass Deaconess Hospital, Pb 6165, 5152, Bergen, Norway  |4 aut 
700 1 |a Solheim  |D Eirik  |u Surgical Department, Haraldsplass Deaconess Hospital, Pb 6165, 5152, Bergen, Norway  |4 aut 
773 0 |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/4(2015-04-01), 1060-1064  |x 0942-2056  |q 23:4<1060  |1 2015  |2 23  |o 167 
856 4 0 |u https://doi.org/10.1007/s00167-014-2871-2  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s00167-014-2871-2  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Inderhaug  |D Eivind  |u Surgical Department, Haraldsplass Deaconess Hospital, Pb 6165, 5152, Bergen, Norway  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Strand  |D Torbjørn  |u Surgical Department, Haraldsplass Deaconess Hospital, Pb 6165, 5152, Bergen, Norway  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Solheim  |D Eirik  |u Surgical Department, Haraldsplass Deaconess Hospital, Pb 6165, 5152, Bergen, Norway  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/4(2015-04-01), 1060-1064  |x 0942-2056  |q 23:4<1060  |1 2015  |2 23  |o 167