RT Journal Article
T1 Posterior hamstring harvest improves aesthetic satisfaction and decreases sensory complications as compared to the classic anterior approach in anterior cruciate ligament reconstruction surgery.
A1 García Hernández, Jesús Manuel
A1 López-Vidriero Tejedor, Emilio
A1 Castañeda González, Sofía
A1 Yrayzoz Fuentes, Joaquín
A1 Periáñez Moreno, Rafael
A1 Saval Benítez, Jose María
A1 Carrascal Aldana, Guillermo
K1 ACL reconstruction
K1 Popliteal fossa
K1 Posterior harvesting
K1 Saphenous nerve injury
K1 Semitendinosus tendon
AB 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. 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. 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. Graft harvest time of 9.5 min in group A versus 5.25 min in group P (p  The posterior approach to harvesting the ipsilateral hamstring graft obtained better results than the anterior approach in terms of aesthetic satisfaction of the patient, lower rate of neurological complications (allodynia, paresthesias and hypoesthesia in the anterior region of the knee and leg) and shorter hamstring harvest time. IV.
SN 2197-1153
YR 2022
FD 2022-11-03
LK http://hdl.handle.net/10668/20376
UL http://hdl.handle.net/10668/20376
LA en
DS RISalud
RD Apr 4, 2025