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International Orthopaedics
Published in: International Orthopaedics 4/2016

01-04-2016 | Original Paper

Is it safe to reconstruct the knee Anterolateral Ligament with a femoral tunnel? Frequency of Lateral Collateral Ligament and Popliteus Tendon injury

Authors: Camilo Partezani Helito, Marcelo Batista Bonadio, Riccardo Gomes Gobbi, Roberto Freire da Mota e Albuquerque, José Ricardo Pécora, Gilberto Luis Camanho, Marco Kawamura Demange

Published in: International Orthopaedics | Issue 4/2016

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Abstract

Purpose

This study sought to determine the safety limits for performing a femoral bone tunnel to reconstruct the knee anterolateral ligament (ALL) by establishing its distance from the lateral collateral ligament (LCL) and the popliteus muscle tendon (PT) on the lateral femoral condyle.

Methods

Anatomic study on 48 knee cadaveric specimens. The femoral attachments of the studied structures were isolated, and the distance between them was measured. For each cadaver, the percentage of cases in which at least 50 % of the LCL and PT would be injured when using 4- to 12-mm-diameter drills in an ALL reconstruction procedure was evaluated.

Results

The LCL and PT were 3.8 mm and 10.2 mm distant from the ALL, respectively. A 4-mm tunnel would cause LCL injury in 8.3 % of cases, with increasing incidence of injury up to 87.5 % with a 12-mm drill. Injury to the PT would start with the 10-mm drill, causing injury in 2.0 % of cases.

Conclusions

Performing a tunnel in the center of the ALL may cause an iatrogenic injury to the LCL origin. No cases of PT injury are expected to occur with drills smaller than 10 mm.
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Metadata
Title
Is it safe to reconstruct the knee Anterolateral Ligament with a femoral tunnel? Frequency of Lateral Collateral Ligament and Popliteus Tendon injury
Authors
Camilo Partezani Helito
Marcelo Batista Bonadio
Riccardo Gomes Gobbi
Roberto Freire da Mota e Albuquerque
José Ricardo Pécora
Gilberto Luis Camanho
Marco Kawamura Demange
Publication date
01-04-2016
Publisher
Springer Berlin Heidelberg
Published in
International Orthopaedics / Issue 4/2016
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-015-2888-2

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