• Camilo Partezani Helito, Marcelo Batista Bonadio, Riccardo Gomes Gobbi, da Mota E AlbuquerqueRoberto FreireRFUniversity of São Paulo, São Paulo, Brazil., José Ricardo Pécora, Gilberto Luis Camanho, and Marco Kawamura Demange.
• University of São Paulo, São Paulo, Brazil. camilo_helito@yahoo.com.br.
• Int Orthop. 2016 Apr 1; 40 (4): 821-5.

PurposeThis 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.MethodsAnatomic 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.ResultsThe 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.ConclusionsPerforming 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.

25 keywords...

hide…