Evidence map›Paper›PMID 27338956›Full record

SynthesisKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2017

Saphenous nerve injury during hamstring tendons harvest: Does the incision matter? A systematic review.

A Ruffilli, M De Fine, F Traina, F Pilla, D Fenga, C Faldini

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. No difference in sensory outcome between vertical and oblique incisions for hamstring graft harvest during ACL reconstruction.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2019
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

A RuffilliRizzoli Sicilia Department, Rizzoli Orthopaedic Institute, SS 113, Km 246, 90011, Bagheria, PA, Italy.
M De FineRizzoli Sicilia Department, Rizzoli Orthopaedic Institute, SS 113, Km 246, 90011, Bagheria, PA, Italy. marcello.define@gmail.com.
F TrainaRizzoli Sicilia Department, Rizzoli Orthopaedic Institute, SS 113, Km 246, 90011, Bagheria, PA, Italy.
F PillaRizzoli Sicilia Department, Rizzoli Orthopaedic Institute, SS 113, Km 246, 90011, Bagheria, PA, Italy.
D FengaDepartment of Biomedical and Dental Sciences and Morphofunctional Imaging, University Hospital "G.Martino", Messina, Italy.
C FaldiniRizzoli Sicilia Department, Rizzoli Orthopaedic Institute, SS 113, Km 246, 90011, Bagheria, PA, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeInfrapatellar branch of saphenous nerve injury is a common complication following hamstring graft harvest during anterior cruciate ligament reconstruction. The direction of skin incision performed at proximal tibial metaphysis may affect the rate of iatrogenic nerve damage. Aim of the present systematic review was to evaluate evidence that would substantiate the adoption of one incision over another for hamstring graft harvesting.

methodsThe available literature was systematically screened searching studies dealing with iatrogenic injury to the saphenous nerve after anterior cruciate ligament reconstruction using hamstring tendons. A search was performed using the keywords "Saphenous" and "Infrapatellar branch" in combination with "Anterior cruciate ligament", "arthroscopy" and "hamstrings", supplying no limits regard the publication year. Coleman methodological score was performed in all the retained articles.

resultsFive articles matched the inclusion criteria. There were two randomized controlled trials, one prospective comparative study and two retrospective comparative series. Poor methodological quality was found overall. A vertical incision was found to significantly affect the presence of hypoesthesia and the extent of the area of sensory loss in three articles; no difference was registered in one, and a trend towards a lower rate of iatrogenic nerve damage using an oblique incision was found in the remaining one, without any statistical significance.

conclusionAlthough the low methodological quality of the analysed studies does not permit to draw definitive conclusions, the anatomical course of the nerve along with the results obtained in the available studies seems to suggest lower rate of neurological impairment adopting an oblique incision. This kind of incision may therefore be preferred in the routine clinical practice. LEVEL OF EVIDENCE: Systematic review, Level II.

Indexed as

Anterior Cruciate LigamentAnterior Cruciate Ligament ReconstructionFemaleHamstring TendonsHumansMaleMiddle AgedPeripheral Nerve InjuriesProspective StudiesRetrospective StudiesACL reconstructionComplicationsHamstring tendons harvestSaphenous nerve injury

Identifiers

PMID27338956

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.