Anatomical reference point for harvesting a flexor graft during arthroscopic reconstruction of the anterior cruciate ligament

Lopes, Clécio de Lima; Arantes, Gabriel; Oliveira, Rodrigo Victor Lapenda de; Pinto, Dilamar Moreira; Gonçalves, Marcelo Carvalho Krause; Gonçalves, Romeu Carvalho Krause

doi:10.1016/j.rboe.2015.02.010

Cited by 3 publications

(3 citation statements)

References 7 publications

(8 reference statements)

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“… 6 Lopes et al. 7 have recognized previously this vascular arch network as a reference point for hamstring tendon harvesting. Similarly, Babu et al.…”

Section: Discussionmentioning

confidence: 99%

“…The blood vessel described is likely a tributary of the vascular arch that surrounds the pes anserinus and is supplied by the inferior medial genicular artery, inferior lateral genicular artery, and anterior tibial recurrent artery. 6 Lopes et al 7 have recognized previously this vascular arch network as a reference point for hamstring tendon harvesting. Similarly, Babu et al 8 noted a "sentinel" blood vessel with anatomical relevance to aid identification of the hamstrings and proposed it to be a periosteal artery.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Inferior Medial Geniculate Artery Branch as an Anatomical Landmark for Hamstring Harvest During Anterior Cruciate Ligament Reconstruction

Lun

Dan

Broe

et al. 2021

Arthroscopy Techniques

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Graft harvesting is often a challenging step of anterior cruciate ligament reconstructions. Accurate isolation of the hamstring tendons at the pes anserinus is crucial to successful graft harvesting. We describe a technique of using a branch of the inferior medial geniculate artery overlying the pes anserinus insertion as an anatomical landmark to localize the hamstring tendons for harvest. By using this vessel as an anatomical landmark, the incision length was decreased and the time required to harvest reduced. This is a highly reproducible technique and will be beneficial for soft tissue harvesting surgeons to ease hamstring graft harvesting.

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“… 6 Lopes et al. 7 have recognized previously this vascular arch network as a reference point for hamstring tendon harvesting. Similarly, Babu et al.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Inferior Medial Geniculate Artery Branch as an Anatomical Landmark for Hamstring Harvest During Anterior Cruciate Ligament Reconstruction

Lun

Dan

Broe

et al. 2021

Arthroscopy Techniques

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“…The diameter of neurovascular pedicles is of interest because of the recent method of the reconstruction of the anterior cruciate ligament with a pedicle graft. It was described that the harvesting of graft may be sometimes difficult, because of lack of reports in the literature from an anatomical point of view, which can escort and help their harvesting [ 10 ]. In this context, the purpose of the present study was to provide the morphological database of the ST muscle, its tendon and its neurovascular pedicle from the South Indian population, which can be utilized by the operating surgeon during the procedures like reconstructions of anterior cruciate ligament, ligaments of the ankle joint and the tendo Achilles.…”

Section: Introductionmentioning

confidence: 99%

Morphometric study of the semitendinosus muscle and its neurovascular pedicles in South Indian cadavers

et al. 2018

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The purpose of this study was to determine the length of the semitendinosus muscle belly and its tendon in South Indian population and to study the topography and diameter of its neurovascular pedicles. The study included 46 formalin fixed human cadaveric lower limbs. The length of the semitendinosus muscle belly and its tendon were measured. The neurovascular pedicles of the semitendinosus muscle were identified and counted. The diameter of the neurovascular pedicle was measured just before its entrance into the semitendinosus muscle. The topographical distance of the neurovascular pedicles from the origin of the semitendinosus muscle were determined. The mean length of the semitendinosus muscle belly was 332.3±36.1 mm and its tendon measured 154.8±31.9 mm. The mean diameter of the vascular pedicle was measuring 11.4±9.1 mm, just before its entrance into the semitendinosus muscle. The neurovascular pedicles, of the semitendinosus muscle were ranging between 1 and 7. The distance of the entrance of neurovascular pedicle to the semitendinosus muscle from its origin was ranging between 46 and 272 mm. It was observed that the neurovascular pedicles were highest (31%) at the range of 151–200 mm away from the ischial tuberosity. The morphometric data obtained in the present study is enlightening to the orthopedic and plastic surgeons. The topographical knowledge of the neurovascular pedicles has its implications during the harvesting of the grafts and pedicle flaps. The diameter of vessels in the pedicles is enlightening because of new method of anterior cruciate ligament reconstruction.

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Anatomical Landmarks for Hamstring Tendon Harvesting in Anterior Cruciate Ligament Reconstruction

Prejbeanu,

Mioc

2024

Arthroscopic Surgery - New Perspectives

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When performing an anterior cruciate ligament reconstruction (ACLR) with hamstrings autograft, one of the most delicate steps is graft harvesting. We will describe different anatomical landmarks that can be used in order to properly ensure that approach and tendon identification is facile. Knowing the anatomy of the ‘pes anserinus’ and different landmarks that can guide us towards harvesting is the goal of this chapter. Our descriptions will be based on existing literature and personal surgical experience. We shall also discuss different options described in the literature that have been used over the years. Knowing the correct anatomy as a surgeon helps improve our technique as such, we deal less local trauma and induce as little scar tissue as possible. Possible complications that can occur during the approach will be also discussed.

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Anatomical reference point for harvesting a flexor graft during arthroscopic reconstruction of the anterior cruciate ligament

Cited by 3 publications

References 7 publications

Inferior Medial Geniculate Artery Branch as an Anatomical Landmark for Hamstring Harvest During Anterior Cruciate Ligament Reconstruction

Inferior Medial Geniculate Artery Branch as an Anatomical Landmark for Hamstring Harvest During Anterior Cruciate Ligament Reconstruction

Morphometric study of the semitendinosus muscle and its neurovascular pedicles in South Indian cadavers

Anatomical Landmarks for Hamstring Tendon Harvesting in Anterior Cruciate Ligament Reconstruction

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