TOPOGRAPHIC AND ANATOMICAL APPROACHES TO THE DEVELOPMENT OF THE PROTECTION SYSTEM OF THE POPLITEAL ARTERY DURING ARTHROSCOPIC POSTERIOR CRUCIATE LIGAMENT PLASTY

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Abstract

The purpose of this study was to determine relationships between bone elements of the knee and popliteal artery. Type of study: anatomy and clinical. Materials and methods consist of 12 cadaveric knees, 14 MRI of the knee, 59 arteriograms of lower extremity 6 of cadaveric knees were x-rayed in the axial and sagittal planes at each of 3 flexion angles (180°, 130° and 90°) to determine the distance between posterior cruciate ligament and popliteal artery. During the study was also measured lengths of bone tunnels for arthroscopy posterior cruciate ligament reconstruction. Was fined, that in 100% of cases popliteal artery was in lateroposition (form 1 to 6 mm). The maximal distance between posterior cruciate ligament and popliteal artery were noted at flexion 90°. The length of the tibial tunnel was in a range from 63 to 78 cm, femoral - from 38 to 47 mm. Methods aimed at reducing risk of popliteal artery injury are offered.

About the authors

I. A. Kuznetsov

Vreden Russian Research Institute of Traumatology and Orthopedics

Author for correspondence.
Email: smithsport@mail.ru
Russian Federation

N. F. Fomin

Kirov Military Medical Academy

Email: fominmed@mail.ru
Russian Federation

D. A. Shulepov

Vreden Russian Research Institute of Traumatology and Orthopedics

Email: shulepov@front.ru
Russian Federation

References

  1. Котельников Г.П. Посттравматическая нестабильность коленного сустава. Самара: Самарский дом печати; 1998. 184 с.
  2. Шилкин В.В., Филимонов В.И. Анатомия по Пирогову (атлас анатомии человека). М.: ГГЭОТАРМедиа; 2011. Т. 1. 600 с.
  3. Штробель М. Руководство по артроскопической хирургии. М.: Издательство Панфилова; 2012. Т. 1. 672 с.
  4. Ahn J.H., Wang J.H., Lee S.H., Yoo J.C., Jeon W.J. Increasing the distance between the posterior cruciate ligament and the popliteal neurovascular bundle by a limited posterior capsular release during arthroscopic transtibial posterior cruciate ligament reconstruction: a cadaveric angiographic study. Am. J. Sports Med. 2007; 35(5):787-792.
  5. Cohen S.B., Boyd L., Miller M.D. Vascular risk associated with posterior cruciate ligament reconstruction using the arthroscopic transtibial tunnel technique. J. Knee Surg. 2004;17(4):211-213.
  6. Cosgarea A.J., Kramer D.E., Bahk M.S., Totty W.G., Matava M.J. Proximity of the popliteal artery to the PCL during simulated knee arthroscopy: implications for establishing the posterior trans-septal portal. J. Knee Surg. 2006;19(3):181-185.
  7. Houe T., Jorgensen U. Arthroscopic posterior cruciate ligament reconstruction: one- vs. two-tunnel technique. Scand. J. Med. Sci. Sports. 2004;14(2):107-111.
  8. Keser S., Savranlar A., Bayar A., Ulukent S.C., Ozer T., Tuncay I. Anatomic localization of the popliteal artery at the level of the knee joint: a magnetic resonance imaging study. Arthroscopy. 2006;22(6):656-659.
  9. MacGillivray J.D., Stein B.E., Park M., Allen A.A., Wickiewicz T.L., Warren R.F. Comparison of tibial inlay versus transtibial techniques for isolated posterior cruciate ligament reconstruction: minimum 2-year follow-up. Arthroscopy. 2006;22(3):320-328.
  10. Makino A., Costa-Paz M., Aponte-Tinao L., Ayerza M.A., Muscolo D.L. Popliteal artery laceration during arthroscopic posterior cruciate ligament reconstruction. Arthroscopy. 2005;21(11):1396.
  11. McAllister D.R., Petrigliano F.A. Diagnosis and treatment of posterior cruciate ligament injuries. Curr. Sports Med. Rep. 2007;6(5):293-299.
  12. McKeon B.P., Bono J.V., Richmond J.C. Knee Arthroscopy. Springer; 2009. 578 p.
  13. Pace J.L., Wahl C.J. Arthroscopy of the posterior knee compartments: neurovascular anatomic relationships during arthroscopic transverse capsulotomy. Arthroscopy. 2010;26(5):637-642.
  14. Seon J.K., Song E.K. Reconstruction of isolated posterior cruciate ligament injuries: a clinical comparison of the transtibial and tibial inlay techniques. Arthroscopy. 2006;22(1):27-32.
  15. Yoo J.H., Chang C.B. The location of the popliteal artery in extension and 90 degree knee flexion measured on MRI. Knee. 2009;16(2):143-148.

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