الفهرس | Only 14 pages are availabe for public view |
Abstract Anterior cruciate ligament (ACL) injuries, which are incapacitating for certain physical activities because of the instability that is caused, predispose toward meniscal and cartilage lesions that may evolve to arthrosis. ACL reconstruction seeks to restore joint stability. With the evolution of surgical procedures for ACL reconstruction, patients{u2019} expectations regarding the results are becoming greater. They seek to return to their daily activities earlier and with less morbidity. The graft harvesting is not risk-free, one of the commonest complication is regional paresthesia or anesthesia in the leg, caused by injury to the infrapatellar branch of the saphenous nerve (IPBSN). In the literature, the percentage occurrence of iatrogenic Lesions of the IPBSN during reconstruction of the ACL using flexor tendons ranges from 14.9% to 77%. [7, 8] In the present study, patients undergoing ACL reconstruction with the technique of oblique incision show lower prevalence of peri-incisional dysesthesia when compared with the group in whom the vertical incision was used. Injury to the IPBSN can be seen during hamstring graft harvest. Oblique incision may be better for graft harvesting in ACL reconstruction. Area of dysesthesia gradually reduces with time. Sensory loss does not impair normal daily activities in most of these patients. As a possible complication, nerve injury and its benign prognosis should be explained to the patient before surgery |