Arthroscopic reconstruction of the popliteus complex: accuracy and reproducibility of a new surgical technique

Verfasser / Beitragende:
[Karl-Heinz Frosch, Ralph Akoto, Maximilian Heitmann, Elena Enderle, Antonios Giannakos, Achim Preiss]
Ort, Verlag, Jahr:
2015
Enthalten in:
Knee Surgery, Sports Traumatology, Arthroscopy, 23/10(2015-10-01), 3114-3120
Format:
Artikel (online)
ID: 605458650
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024 7 0 |a 10.1007/s00167-014-3000-y  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00167-014-3000-y 
245 0 0 |a Arthroscopic reconstruction of the popliteus complex: accuracy and reproducibility of a new surgical technique  |h [Elektronische Daten]  |c [Karl-Heinz Frosch, Ralph Akoto, Maximilian Heitmann, Elena Enderle, Antonios Giannakos, Achim Preiss] 
520 3 |a Purpose: With combined PCL reconstruction and a minimal invasive (extra-anatomical) Larson's procedure, dorsal instability can be reduced by about 50-70%. Better results are described by open and more anatomical procedures. In this study, a new, standardized, arthroscopic technique for anatomical popliteus tendon (PLT) reconstruction is evaluated. Methods: In 13 cadaver knees, an arthroscopic reconstruction of the PLT and the lateral collateral ligament was performed. Twelve defined landmarks were used for arthroscopic tunnel placement, and the distance of the tunnel locations to these specific landmarks was evaluated. Results: The femoral drill channel was located with a high degree of accuracy and reproducibility in the centre of the femoral footprint of the PLT (on average 1.1 (±1.6) mm distal from the centre). On the tibial side, the drill channel was in the distal third of the sulcus popliteus in all cases. On average, the channel was placed exactly at the level of the tip of the fibula (±1.5mm) and 0.6 (±1.7) mm medially from the medial edge of the fibula. The centre of the channel was 13.4 (±2.3) mm distal from the joint line. Conclusions: The presented arthroscopic technique for PLT reconstruction is standardized, reproducible and has a high accuracy for the placement of the tibial and femoral tunnel. The technique could be clinically relevant for future arthroscopic posterolateral corner reconstructions. Level of evidence: III. 
540 |a Springer-Verlag Berlin Heidelberg, 2014 
690 7 |a Knee  |2 nationallicence 
690 7 |a PCL  |2 nationallicence 
690 7 |a Posterolateral instability  |2 nationallicence 
690 7 |a Popliteus tendon  |2 nationallicence 
690 7 |a Arthroscopy  |2 nationallicence 
700 1 |a Frosch  |D Karl-Heinz  |u Department of Trauma and Reconstructive Surgery, Asklepios Clinic St. Georg, Lohmühlenstr. 5, 20099, Hamburg, Germany  |4 aut 
700 1 |a Akoto  |D Ralph  |u Department of Knee and Shoulder Surgery, Sports Traumatology, Asklepios Clinic St. Georg, Hamburg, Germany  |4 aut 
700 1 |a Heitmann  |D Maximilian  |u Department of Trauma and Reconstructive Surgery, Asklepios Clinic St. Georg, Lohmühlenstr. 5, 20099, Hamburg, Germany  |4 aut 
700 1 |a Enderle  |D Elena  |u Department of Trauma and Reconstructive Surgery, Asklepios Clinic St. Georg, Lohmühlenstr. 5, 20099, Hamburg, Germany  |4 aut 
700 1 |a Giannakos  |D Antonios  |u Department of Knee and Shoulder Surgery, Sports Traumatology, Asklepios Clinic St. Georg, Hamburg, Germany  |4 aut 
700 1 |a Preiss  |D Achim  |u Department of Trauma and Reconstructive Surgery, Asklepios Clinic St. Georg, Lohmühlenstr. 5, 20099, Hamburg, Germany  |4 aut 
773 0 |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/10(2015-10-01), 3114-3120  |x 0942-2056  |q 23:10<3114  |1 2015  |2 23  |o 167 
856 4 0 |u https://doi.org/10.1007/s00167-014-3000-y  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s00167-014-3000-y  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Frosch  |D Karl-Heinz  |u Department of Trauma and Reconstructive Surgery, Asklepios Clinic St. Georg, Lohmühlenstr. 5, 20099, Hamburg, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Akoto  |D Ralph  |u Department of Knee and Shoulder Surgery, Sports Traumatology, Asklepios Clinic St. Georg, Hamburg, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Heitmann  |D Maximilian  |u Department of Trauma and Reconstructive Surgery, Asklepios Clinic St. Georg, Lohmühlenstr. 5, 20099, Hamburg, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Enderle  |D Elena  |u Department of Trauma and Reconstructive Surgery, Asklepios Clinic St. Georg, Lohmühlenstr. 5, 20099, Hamburg, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Giannakos  |D Antonios  |u Department of Knee and Shoulder Surgery, Sports Traumatology, Asklepios Clinic St. Georg, Hamburg, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Preiss  |D Achim  |u Department of Trauma and Reconstructive Surgery, Asklepios Clinic St. Georg, Lohmühlenstr. 5, 20099, Hamburg, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/10(2015-10-01), 3114-3120  |x 0942-2056  |q 23:10<3114  |1 2015  |2 23  |o 167