Vascular safety during arthroscopic all-inside meniscus suture

Verfasser / Beitragende:
[Akinobu Nishimura, Aki Fukuda, Ko Kato, Kohzo Fujisawa, Atsumasa Uchida, Akihiro Sudo]
Ort, Verlag, Jahr:
2015
Enthalten in:
Knee Surgery, Sports Traumatology, Arthroscopy, 23/4(2015-04-01), 975-980
Format:
Artikel (online)
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024 7 0 |a 10.1007/s00167-013-2774-7  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00167-013-2774-7 
245 0 0 |a Vascular safety during arthroscopic all-inside meniscus suture  |h [Elektronische Daten]  |c [Akinobu Nishimura, Aki Fukuda, Ko Kato, Kohzo Fujisawa, Atsumasa Uchida, Akihiro Sudo] 
520 3 |a Purpose: The purpose of the study is to assess the orientation and distance of the popliteal artery (PA) from both the anteromedial and anterolateral portals. Methods: The records of 97 patients (100 knees) who underwent knee arthroscopy were reviewed. The shortest distance from the posterior tibial cortex to the PA on the lines from both the medial and lateral borders of the patellar tendon to the PA was evaluated by magnetic resonance imaging at full knee extension. The figure-of-four position was compared between patients with intact and deficient anterior cruciate ligaments (ACLs). The shortest distances from the posterior cruciate ligament (PCL) to the lines running from the medial and lateral borders of the patellar tendon to the PA were also measured. Results: The shortest distances from the posterior tibial cortex to the PA were significantly longer in the figure-of-four position than at full knee extension and during extension in the ACL-deficient than intact group. Distances did not significantly differ in the figure-of-four position. The PA was hidden from the anteromedial portal by the PCL, but remained vulnerable from the anterolateral portal. Conclusions: All-inside meniscus suturing of the posterior horn of the lateral meniscus inserted through the anteromedial portal is safer when the knee is in the figure-of-four position than fully extended. Meniscus repairs should be completed before ACL reconstruction due to vascular positions and the ease of approach. Level of evidence: Prospective correlation study, Level IV. 
540 |a Springer-Verlag Berlin Heidelberg, 2013 
690 7 |a Magnetic resonance image  |2 nationallicence 
690 7 |a Knee arthroscopy  |2 nationallicence 
690 7 |a Meniscus suture  |2 nationallicence 
690 7 |a All-inside suture  |2 nationallicence 
690 7 |a Vascular position  |2 nationallicence 
700 1 |a Nishimura  |D Akinobu  |u Department of Orthopaedic and Sports Medicine, Mie University Graduate School of Medicine, 2-174 Edobashi, 514-8507, Tsu, Mie, Japan  |4 aut 
700 1 |a Fukuda  |D Aki  |u Department of Orthopaedic Surgery, Suzuka Kaisei Hospital, Tsu, Mie, Japan  |4 aut 
700 1 |a Kato  |D Ko  |u Department of Orthopaedic and Sports Medicine, Mie University Graduate School of Medicine, 2-174 Edobashi, 514-8507, Tsu, Mie, Japan  |4 aut 
700 1 |a Fujisawa  |D Kohzo  |u Department of Orthopaedic Surgery, Suzuka Kaisei Hospital, Tsu, Mie, Japan  |4 aut 
700 1 |a Uchida  |D Atsumasa  |u Department of Orthopaedic Surgery, Mie University Graduate School of Medicine, Tsu, Mie, Japan  |4 aut 
700 1 |a Sudo  |D Akihiro  |u Department of Orthopaedic Surgery, Mie University Graduate School of Medicine, Tsu, Mie, Japan  |4 aut 
773 0 |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/4(2015-04-01), 975-980  |x 0942-2056  |q 23:4<975  |1 2015  |2 23  |o 167 
856 4 0 |u https://doi.org/10.1007/s00167-013-2774-7  |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/s00167-013-2774-7  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Nishimura  |D Akinobu  |u Department of Orthopaedic and Sports Medicine, Mie University Graduate School of Medicine, 2-174 Edobashi, 514-8507, Tsu, Mie, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Fukuda  |D Aki  |u Department of Orthopaedic Surgery, Suzuka Kaisei Hospital, Tsu, Mie, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kato  |D Ko  |u Department of Orthopaedic and Sports Medicine, Mie University Graduate School of Medicine, 2-174 Edobashi, 514-8507, Tsu, Mie, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Fujisawa  |D Kohzo  |u Department of Orthopaedic Surgery, Suzuka Kaisei Hospital, Tsu, Mie, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Uchida  |D Atsumasa  |u Department of Orthopaedic Surgery, Mie University Graduate School of Medicine, Tsu, Mie, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Sudo  |D Akihiro  |u Department of Orthopaedic Surgery, Mie University Graduate School of Medicine, Tsu, Mie, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/4(2015-04-01), 975-980  |x 0942-2056  |q 23:4<975  |1 2015  |2 23  |o 167