caa a22 4500 605459045 CHVBK 20210128100232.0 cr unu---uuuuu 210128e20150401xx s 000 0 eng 10.1007/s00167-013-2774-7 doi (NATIONALLICENCE)springer-10.1007/s00167-013-2774-7 Vascular safety during arthroscopic all-inside meniscus suture [Elektronische Daten] [Akinobu Nishimura, Aki Fukuda, Ko Kato, Kohzo Fujisawa, Atsumasa Uchida, Akihiro Sudo] 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. Springer-Verlag Berlin Heidelberg, 2013 Magnetic resonance image nationallicence Knee arthroscopy nationallicence Meniscus suture nationallicence All-inside suture nationallicence Vascular position nationallicence Nishimura Akinobu Department of Orthopaedic and Sports Medicine, Mie University Graduate School of Medicine, 2-174 Edobashi, 514-8507, Tsu, Mie, Japan aut Fukuda Aki Department of Orthopaedic Surgery, Suzuka Kaisei Hospital, Tsu, Mie, Japan aut Kato Ko Department of Orthopaedic and Sports Medicine, Mie University Graduate School of Medicine, 2-174 Edobashi, 514-8507, Tsu, Mie, Japan aut Fujisawa Kohzo Department of Orthopaedic Surgery, Suzuka Kaisei Hospital, Tsu, Mie, Japan aut Uchida Atsumasa Department of Orthopaedic Surgery, Mie University Graduate School of Medicine, Tsu, Mie, Japan aut Sudo Akihiro Department of Orthopaedic Surgery, Mie University Graduate School of Medicine, Tsu, Mie, Japan aut Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/4(2015-04-01), 975-980 0942-2056 23:4<975 2015 23 167 https://doi.org/10.1007/s00167-013-2774-7 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00167-013-2774-7 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Nishimura Akinobu Department of Orthopaedic and Sports Medicine, Mie University Graduate School of Medicine, 2-174 Edobashi, 514-8507, Tsu, Mie, Japan aut NATIONALLICENCE 700 1- Fukuda Aki Department of Orthopaedic Surgery, Suzuka Kaisei Hospital, Tsu, Mie, Japan aut NATIONALLICENCE 700 1- Kato Ko Department of Orthopaedic and Sports Medicine, Mie University Graduate School of Medicine, 2-174 Edobashi, 514-8507, Tsu, Mie, Japan aut NATIONALLICENCE 700 1- Fujisawa Kohzo Department of Orthopaedic Surgery, Suzuka Kaisei Hospital, Tsu, Mie, Japan aut NATIONALLICENCE 700 1- Uchida Atsumasa Department of Orthopaedic Surgery, Mie University Graduate School of Medicine, Tsu, Mie, Japan aut NATIONALLICENCE 700 1- Sudo Akihiro Department of Orthopaedic Surgery, Mie University Graduate School of Medicine, Tsu, Mie, Japan aut NATIONALLICENCE 773 0- Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/4(2015-04-01), 975-980 0942-2056 23:4<975 2015 23 167