Research progress of anterior cutaneous nerve injury and repair in knee arthroplasty.
10.7507/1002-1892.202301071
- Author:
Enhao PAN
1
;
Yingbin WU
1
;
Lin TANG
1
;
Weijie LU
1
Author Information
1. Department of Joint Surgery, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou Guangdong, 510120, P. R. China.
- Publication Type:Journal Article
- Keywords:
Knee arthroplasty;
anterior cutaneous nerve injury;
complication;
prevention;
treatment
- MeSH:
Humans;
Arthroplasty, Replacement, Knee/adverse effects*;
Hypesthesia/etiology*;
Skin;
Pain/etiology*;
Knee Joint;
Pain, Postoperative
- From:
Chinese Journal of Reparative and Reconstructive Surgery
2023;37(5):635-640
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To summarize the research progress of anterior cutaneous nerve injury and repair in knee arthroplasty.
METHODS:The relevant literature at home and abroad in recent years was reviewed and summarized from the anatomy of anterior cutaneous nerve, nerve injury grade, clinical manifestations, prevention and treatment of anterior cutaneous nerve.
RESULTS:The anterior cutaneous nerve injury is a common complication of knee arthroplasty. Because the anterior cutaneous nerve branches are many and thin, and mainly run between the first and second layers of fascia, this level is often ignored during surgical exposure. In addition, the knee arthroplasty does not routinely perform the exploration and repair of the cutaneous nerve. So the anterior cutaneous nerve injury is difficult to avoid, and can lead to postoperative skin numbness and knee pain. At present, studies have explored the feasibility of preventing its occurrence from the aspects of improved incision and intraoperative separation of protective nerve. There is no effective prevention and treatment measures for this complication. For patients with skin numbness after knee arthroplasty, the effectiveness of drug treatment is not clear. Local nerve block or nerve excision can be used to treat patients with painful symptoms after knee arthroplasty considering cutaneous pseudoneuroma.
CONCLUSION:Knee arthroplasty is widely used and anterior cutaneous nerve injury is common in clinic. In the future, more high-quality clinical studies are needed to further explore the prevention and treatment measures of this complication and evaluate the clinical benefits obtained.
