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

• Main Authors: I. A. Kuznetsov, N. F. Fomin, D. A. Shulepov
• Format: Article
• Language: Russian
• Published: Vreden Russian Research Institute of Traumatology and Orthopedics 2012-12-01
• Series: Travmatologiâ i Ortopediâ Rossii
• Subjects: артроскопия; задняя крестообразная связка; повреждение подколенной артерии; костные тоннели; arthroscopy; posterior cruciate ligament; popliteal artery injury; bone tunnels
• Online Access: https://journal.rniito.org/jour/article/view/281
• ISSN: 2311-2905; 2542-0933

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.