Iatrogenic injury of posterolateral structures during femoral tunneling in anterior cruciate ligament reconstruction: A cadaveric study
| Autor: | Noha Roshadiansyah Soekarno, Riky Setyawan, Sholahuddin Rhatomy, Jaka Fatria Yudhistira |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Experimental Research Anterior cruciate ligament reconstruction Anterior cruciate ligament medicine.medical_treatment Femoral tunneling 03 medical and health sciences 0302 clinical medicine Cadaver medicine business.industry General Medicine musculoskeletal system Posterolateral knee structure Surgery medicine.anatomical_structure Biceps femoris muscle 030220 oncology & carcinogenesis Orthopedic surgery Trans portal technique Ligament 030211 gastroenterology & hepatology Iatrogenic injury Cadaveric spasm business human activities Common peroneal nerve |
| Zdroj: | Annals of Medicine and Surgery |
| ISSN: | 2049-0801 |
| DOI: | 10.1016/j.amsu.2020.09.012 |
| Popis: | Objective Creating Femoral tunnel in Anterior Cruciate Ligament (ACL) reconstruction can be done through some portal. Transportal technique commonly preferred by Orthopedic Surgeon. However, this technique may possess some iatrogenic injury to knee structure especially in the posterolateral during the drilling. This study aim is to describe the most susceptible injured posterolateral structure of the knee during femoral tunneling from trans portal technique Anterior Cruciate Ligament (ACL) reconstruction. Methods Twenty knees from ten cadavers was examined. Anterior Cruciate Ligament (ACL) reconstruction was simulated using the trans portal technique. Femoral drilling was performed with knee in 120 flexion. The cadaver was dissected to identify the injured posterolateral structure during femoral tunneling. The data collected was anatomy structure and the wound size. Results All Twenty knees were included in the study. 90% of injured structure was iliotibial band. The next most common was plantaris (50%) dan gastrocnemius (45%) muscle. The other was biceps femoris muscle (20%). The least common injury was vastus lateralis (5%). No injury was observed in Lateral Collateral Ligament (LCL), popliteus tendon, and peroneal nerve. Conclusion Transportal technique during femoral drilling in Anterior Cruciate Ligament (ACL) reconstruction does do damage to some of the posterolateral structure. The injury was considered minimal and may not result in function deterioration. There is also no risk to common peroneal nerve. Highlights • Iatrogenic Injury. • Posterolateral Structures. • Femoral Tunneling. • Anterior Cruciate Ligament Reconstruction. • Cadaveric Study. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|