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• W4376641159 abstract "To summarize the research progress of anterior cutaneous nerve injury and repair in knee arthroplasty.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.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.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.总结膝关节置换术中膝前皮神经损伤与修复的研究进展。.查阅近年国内外相关文献，从膝前皮神经解剖与神经损伤分级、膝前皮神经损伤临床表现及防治方面进行总结。.膝前皮神经损伤是膝关节置换术常见并发症，因为膝前皮神经分支多且较细，主要走行于第1、2层筋膜之间，而手术暴露过程中常常会忽略这一层次，加之目前膝关节置换术中未常规行皮神经探查、修复等，其损伤难以避免，可导致术后皮肤麻木及膝关节疼痛。目前研究从改良切口、术中分离保护神经等方面探讨预防其发生的可行性，并取得了一定效果。目前，临床对该并发症无有效防治措施。对于膝关节置换术后皮肤麻木症状患者，药物治疗疗效并不明确；术后出现疼痛症状考虑皮神经假性神经瘤患者，可采用局部神经阻滞或神经切除治疗。.膝关节置换术临床应用广泛，膝前皮神经损伤多见，未来需更多高质量临床研究进一步探索该并发症防治措施，并评估临床获益。." @default.
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• W4376641159 date "2023-05-15" @default.
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• W4376641159 title "[Research progress of anterior cutaneous nerve injury and repair in knee arthroplasty]." @default.
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