Posterior hamstring harvest improves aesthetic satisfaction and decreases sensory complications as compared to the classic anterior approach in anterior cruciate ligament reconstruction surgery

Autor: Jesús Manuel García Hernández, Emilio López‐Vidriero Tejedor, Sofía Castañeda González, Joaquín Yrayzoz Fuentes, Rafael Periáñez Moreno, Jose María Saval Benítez, Guillermo Carrascal Aldana
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Journal of Experimental Orthopaedics, Vol 9, Iss 1, Pp n/a-n/a (2022)
Druh dokumentu: article
ISSN: 2197-1153
14391872
DOI: 10.1186/s40634-022-00547-y
Popis: Abstract Purpose The use of the posterior approach for harvesting hamstring grafts has recently become popular thanks to new all‐inside techniques and retrograde drills. This study aims to compare the classic anterior approach with the posterior approach in the popliteal fossa. Methods Retrospective comparative study of 100 consecutive cases of primary ligamentoplasty performed using ipsilateral semitendinosus autograft with at least one year of follow‐up. 50 patients with anterior approach (group A) and 50 patients with posterior approach (P). Ratio men/women: 9/1. Mean age: 32 ± 13 years. Mean operative time: 64.88 ± 12.28 min. Study variables Graft harvest time; intraoperative complications (semitendinous [ST] tendon cut); postoperative neurological complications (allodynia, paresthesia, pain) or hematoma in the donor area; atrophy of the operated thigh compared to the contralateral thigh, postoperative VAS score, aesthetic satisfaction and overall satisfaction. Results Graft harvest time of 9.5 min in group A versus 5.25 min in group P (p
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