title: Nerve injury during anterior cruciate ligament reconstruction: A comparison between patellar and hamstring tendon grafts harvest.
abstract: BACKGROUND
  Tendon harvesting for anterior cruciate ligament reconstruction often injures sensory branches of the saphenous nerve. The reports on the prevalence of these injuries are scarce, while the implications on patient satisfaction are not known. Our objective was to compare the prevalence of sensory nerve injuries in patellar to hamstring autograft harvesting for anterior cruciate ligament reconstructions and follow up their postoperative course.
  
  
  METHODS
  Between 2012 and 2014, patients who had a primary anterior cruciate ligament reconstruction with bone patellar tendon bone or hamstring autografts were included (n=94). We evaluated and compared demographic details, level of activity and postoperative sensation disturbances between both groups. Data was analyzed retrospectively.
  
  
  RESULTS
  The mean postoperative follow-up time was 23months. At the last follow-up 46 (77%) patients of the patellar tendon group and 22 (58%) of the hamstring tendons group reported on reduced sensation; however, in both groups a quarter of these patients experienced full recovery within an average of seven to eight months. There were more patients in the hamstring tendons group that reported on partial recovery. In most cases midline incisions for patellar tendons harvesting injured the infrapatellar branch and medial incisions for hamstring tendons harvesting injured the sartorial branch of the saphenous nerve.
  
  
  CONCLUSIONS
  Harvesting tendon autografts for anterior cruciate ligament reconstructions by vertical incisions had high prevalence of saphenous nerve branches injury with a minor possibility for complete recovery within the first year. The loss of sensation was perceived by patients as a minor complication.
  
  
  METHODS
  Level IV, therapeutic case series.
authors.affiliation: Arthroscopy and Sports Injuries Unit, Hasharon Hospital, Rabin Medical Center, Petach-Tikva, Israel; Orthopedic Department, Sackler Faculty of Medicine, Tel-Aviv University, Israel; Orthopedic Department, Hasharon Hospital, Rabin Medical Center, Petach-Tikva, Israel. Electronic address: barak_haviv69@hotmail.com.
authors.forename: Barak
authors.initials: B
authors.lastname: Haviv
authors.affiliation: Arthroscopy and Sports Injuries Unit, Hasharon Hospital, Rabin Medical Center, Petach-Tikva, Israel; Orthopedic Department, Hasharon Hospital, Rabin Medical Center, Petach-Tikva, Israel.
authors.forename: Shlomo
authors.initials: S
authors.lastname: Bronak
authors.affiliation: Orthopedic Department, Sackler Faculty of Medicine, Tel-Aviv University, Israel; Orthopedic Division, Sourasky Medical Center, Tel-Aviv, Israel.
authors.forename: Ehud
authors.initials: E
authors.lastname: Rath
authors.affiliation: Arthroscopy and Sports Injuries Unit, Hasharon Hospital, Rabin Medical Center, Petach-Tikva, Israel; Orthopedic Department, Sackler Faculty of Medicine, Tel-Aviv University, Israel; Orthopedic Department, Hasharon Hospital, Rabin Medical Center, Petach-Tikva, Israel.
authors.forename: Mustafa
authors.initials: M
authors.lastname: Yassin
mesh_terms: D000328:Adult; D059549:Anterior Cruciate Ligament Reconstruction / Q000009:adverse effects*; D064592:Autografts; D050376:Bone-Patellar Tendon-Bone Grafting; D005260:Female; D005267:Femoral Nerve / Q000293:injuries*; D005500:Follow-Up Studies; D000070632:Hamstring Tendons / Q000637:transplantation*; D006801:Humans; D006987:Hypesthesia / Q000209:etiology; D007431:Intraoperative Complications; D008297:Male; D012189:Retrospective Studies
keywords: Anterior cruciate ligament; Hamstrings; Nerve injury; Patellar tendon graft; Saphenous nerve