SynthesisKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2018
Association between incision technique for hamstring tendon harvest in anterior cruciate ligament reconstruction and the risk of injury to the infra-patellar branch of the saphenous nerve: a meta-analysis.
Synthesis in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.
What it found
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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.
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.
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Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 39 citations in OpenAlex.
- Quadriceps, hamstring and patella tendon autografts for primary anterior cruciate ligament reconstruction demonstrate similar clinical outcomes, including graft failure, joint laxity and complications: A systematic review with meta-analysis of randomised controlled trials.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Pooled it
- The Posteromedial Approach for Harvesting Hamstring Autografts Results in Fewer Incidents of Saphenous Nerve Injury Compared to the Conventional Anteromedial Approach: A Systematic Review and Meta-Analysis.Clinics in orthopedic surgery · 2024Pooled it
- Single-Bundle Posterior Cruciate Ligament Reconstruction Using Autologous Hamstrings With Mesh and Suture Tape Augmentation With Transtibial Tubercle Fixation.Arthroscopy techniques · 2025Article
- The effect of preoperative ultrasound localization on the incidence of infrapatellar branch of the saphenous nerve injury after hamstring tendon harvesting.Journal of orthopaedic surgery and research · 2025Article
- The new auto graft technique in anterior cruciate ligament reconstruction.Northern clinics of Istanbul · 2025Article
- Comparison of Medial Hamstring Length Between Harvesting Methods Using Anterior and Posterior Approaches.Orthopaedic journal of sports medicine · 2024Article
- Incidence and Etiology of Rare Saphenous Nerve Injury After Knee Surgery with Adductor Canal Block: A Retrospective Observational Study.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2024Article
- The prognosis of iatrogenic saphenous nerve injuries during hamstring tendon harvesting in anterior cruciate ligament reconstruction.Journal of orthopaedic surgery and research · 2024Article
- CAN SENSORY DISTURBANCES DUE TO INJURY TO THE INFRAPATELLAR BRANCH OF THE SAPHENOUS NERVE BE PREVENTED BY AN OBLIQUE INCISION?Acta ortopedica brasileira · 2024Article
- Response to Letter to the Editor: "How to avoid Common Complications in Hamstrings Harvest for Anterior Cruciate Ligament Reconstruction. A Practical Guide."The archives of bone and joint surgery · 2024Article
- Complications of peroneus longus tendon harvesting: a retrospective review of 82 cases.Archives of orthopaedic and trauma surgery · 2023Article
- [Correlation study on the influencing factors of semitendinosus insertion location].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2023Article
- How to Avoid Common Complications in Hamstrings Harvest for Anterior Cruciate Ligament Reconstruction: A Practical Guide.The archives of bone and joint surgery · 2023Article
- Hamstring autograft utilization in reconstructing anterior cruciate ligament: Review of harvesting techniques, graft preparation, and different fixation methods.World journal of orthopedics · 2022Review
- Outside-in technique versus inside-out semitendinosus graft harvest technique in ACLR: a randomised control trial.Knee surgery & related research · 2022Article
- A Multi-Systems Approach to Human Movement after ACL Reconstruction: The Integumentary System.International journal of sports physical therapy · 2022Article
- Low to moderate risk of nerve damage during peroneus longus tendon autograft harvest.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
- A modified oblique incision in hamstring tendon graft harvesting during ACL reconstruction.Journal of orthopaedic surgery and research · 2021Article
- Gracilis tendon harvest may lead to both incisional and non-incisional saphenous nerve injuries.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020Article
- Can we rebuild what has been taken? A narrative review of biological and functional consequences of hamstring tendon harvest in ACL surgery.Science progressReview
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors at 4 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo determine how the incision technique for hamstring tendon (HT) harvest in anterior cruciate ligament (ACL) reconstruction affects the risk of injury to the IPBSN and clinical outcome.
methodsA systematic literature search of the MEDLINE/Pubmed, Cochrane Central Register of Controlled Trials (CENTRAL) and EBSCOhost electronic databases and clinicaltrials.gov for unpublished studies was performed to identify comparative studies investigating injury to the IPBSN after HT ACL reconstruction by comparing at least two different incision techniques. Data were extracted for the number of patients with evidence of any neurologic deficit corresponding to injury to the IPBSN, area of sensory deficit, the Lysholm score and patient satisfaction. The mean difference (MD) in study outcome between incision groups was assessed. The relative risk (RR) and the number needed to treat (NNT) were calculated. The Chi-square and Higgins' I
resultsA total of eight studies (three randomized controlled trials (RCTs) and five comparative studies) were included, of which six compared vertical and oblique incisions, one horizontal and vertical incisions, and one compared all three techniques. HT harvest was performed through a vertical incision in 329 patients, through an oblique incision in 195 patients and through a horizontal incision in 151 patients. Considering the meta-analysis of the RCTs, the performance of a vertical incision significantly increased the risk of causing IPBSN deficiency compared with both oblique and horizontal incision [RR 1.65 (CI 1.10-2.49, p = 0.02) and RR 2.45 (CI 1.73-3.47, p < 0.0001), respectively]. A significantly larger area of sensory deficit was found with vertical incisions compared with oblique ones, with an MD of 22.91 cm
conclusionThe performance of a vertical incision to harvest HTs for ACL reconstruction significantly increased the risk of iatrogenic injury to the IPBSN compared with both oblique and horizontal incisions. LEVEL OF EVIDENCE: Level I-III, meta-analysis of comparative studies.
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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.