Optimizing Hamstring Graft Harvesting: Oblique Incisions Minimize Sensory Disturbance in ACLR .
A randomized controlled trial on oblique incisions for ACL reconstruction: Minimizing sensory deficit without compromising outcome.
J Clin Orthop Trauma . 2024 Dec 9:60:102865.One hundred eighteen patients undergoing ACL reconstruction were randomized into three groups: oblique incision (n=40), vertical incision (n=40), and horizontal incision (n=38) for hamstring graft harvesting. The primary outcome of interest was the area of sensory disturbance, assessed using Von Frey Filaments at three weeks, three months, and six months postoperatively. Secondary outcomes included functional outcomes evaluated using the International Knee Documentation Committee (IKDC) 2000 Subjective Knee Evaluation score at the six-month mark. Overall, the results revealed that oblique incisions resulted in significantly smaller areas of sensory disturbance compared to vertical and horizontal incisions, with no differences in functional outcomes between groups. These findings suggest that oblique incisions can minimize sensory disturbances without negatively affecting functional recovery.
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