caa a22 4500 605459142 CHVBK 20210128100232.0 cr unu---uuuuu 210128e20150401xx s 000 0 eng 10.1007/s00167-014-2871-2 doi (NATIONALLICENCE)springer-10.1007/s00167-014-2871-2 The impact of sensory deficits after harvesting hamstrings autograft for ACL reconstruction [Elektronische Daten] [Eivind Inderhaug, Torbjørn Strand, Eirik Solheim] 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. Springer-Verlag Berlin Heidelberg, 2014 Anterior cruciate ligament nationallicence Hamstrings graft nationallicence Sensory deficit nationallicence Complication nationallicence Inderhaug Eivind Surgical Department, Haraldsplass Deaconess Hospital, Pb 6165, 5152, Bergen, Norway aut Strand Torbjørn Surgical Department, Haraldsplass Deaconess Hospital, Pb 6165, 5152, Bergen, Norway aut Solheim Eirik Surgical Department, Haraldsplass Deaconess Hospital, Pb 6165, 5152, Bergen, Norway aut Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/4(2015-04-01), 1060-1064 0942-2056 23:4<1060 2015 23 167 https://doi.org/10.1007/s00167-014-2871-2 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00167-014-2871-2 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Inderhaug Eivind Surgical Department, Haraldsplass Deaconess Hospital, Pb 6165, 5152, Bergen, Norway aut NATIONALLICENCE 700 1- Strand Torbjørn Surgical Department, Haraldsplass Deaconess Hospital, Pb 6165, 5152, Bergen, Norway aut NATIONALLICENCE 700 1- Solheim Eirik Surgical Department, Haraldsplass Deaconess Hospital, Pb 6165, 5152, Bergen, Norway aut NATIONALLICENCE 773 0- Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/4(2015-04-01), 1060-1064 0942-2056 23:4<1060 2015 23 167