Minimally invasive posterior approach in the popliteal fossa for semitendinosus and gracilis tendon harvesting: an anatomic study.
Identifieur interne : 000096 ( PubMed/Corpus ); précédent : 000095; suivant : 000097Minimally invasive posterior approach in the popliteal fossa for semitendinosus and gracilis tendon harvesting: an anatomic study.
Auteurs : X. Roussignol ; S. Bertiaux ; S. Rahali ; D. Potage ; F. Duparc ; F. DujardinSource :
- Orthopaedics & traumatology, surgery & research : OTSR [ 1877-0568 ] ; 2015.
English descriptors
- KwdEn :
- MESH :
- anatomy & histology : Knee Joint, Muscle, Skeletal.
- methods : Minimally Invasive Surgical Procedures, Orthopedic Procedures, Tissue and Organ Harvesting.
- surgery : Knee Joint.
- transplantation : Tendons.
- Cadaver, Female, Humans, Male.
Abstract
Harvesting the semitendinosus (ST) and gracilis (GR) tendons at the anteromedial side of the knee may be hampered by a conjoint tendon insertion on the tibial metaphysis and an accessory bundle between the ST and the medial gastrocnemius. Locating and sparing the terminal branches of the saphenous nerve are difficult on an anteromedial approach. The principal objective of the present anatomic study was to assess the feasibility of ST and GR harvesting from a minimally invasive posterior approach in the popliteal fossa. The secondary objective was to analyze the risk of saphenous nerve branch lesion during harvesting.
DOI: 10.1016/j.otsr.2014.12.009
PubMed: 25701163
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pubmed:25701163Le document en format XML
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Rahali</name><affiliation><nlm:affiliation>Département de chirurgie orthopédique et traumatologique, CHU Rouen - Charles-Nicolle, 1, rue de Germont, 76031 Rouen, France.</nlm:affiliation></affiliation></author><author><name sortKey="Potage, D" sort="Potage, D" uniqKey="Potage D" first="D" last="Potage">D. Potage</name><affiliation><nlm:affiliation>Département de chirurgie orthopédique et traumatologique, CHU Rouen - Charles-Nicolle, 1, rue de Germont, 76031 Rouen, France.</nlm:affiliation></affiliation></author><author><name sortKey="Duparc, F" sort="Duparc, F" uniqKey="Duparc F" first="F" last="Duparc">F. Duparc</name><affiliation><nlm:affiliation>Laboratoire d'anatomie, faculté de médecine de Rouen, 22, boulevard Gambetta, 76183 Rouen, France.</nlm:affiliation></affiliation></author><author><name sortKey="Dujardin, F" sort="Dujardin, F" uniqKey="Dujardin F" first="F" last="Dujardin">F. Dujardin</name><affiliation><nlm:affiliation>Département de chirurgie orthopédique et traumatologique, CHU Rouen - Charles-Nicolle, 1, rue de Germont, 76031 Rouen, France.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2015">2015</date><idno type="RBID">pubmed:25701163</idno><idno type="pmid">25701163</idno><idno type="doi">10.1016/j.otsr.2014.12.009</idno><idno type="wicri:Area/PubMed/Corpus">000096</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Minimally invasive posterior approach in the popliteal fossa for semitendinosus and gracilis tendon harvesting: an anatomic study.</title><author><name sortKey="Roussignol, X" sort="Roussignol, X" uniqKey="Roussignol X" first="X" last="Roussignol">X. Roussignol</name><affiliation><nlm:affiliation>Département de chirurgie orthopédique et traumatologique, CHU Rouen - Charles-Nicolle, 1, rue de Germont, 76031 Rouen, France. Electronic address: xavier.roussignol@chu-rouen.fr.</nlm:affiliation></affiliation></author><author><name sortKey="Bertiaux, S" sort="Bertiaux, S" uniqKey="Bertiaux S" first="S" last="Bertiaux">S. Bertiaux</name><affiliation><nlm:affiliation>Hôpital privé de l'Estuaire, 505, rue Irène-Joliot-Curie, 76620 Le Havre, France.</nlm:affiliation></affiliation></author><author><name sortKey="Rahali, S" sort="Rahali, S" uniqKey="Rahali S" first="S" last="Rahali">S. Rahali</name><affiliation><nlm:affiliation>Département de chirurgie orthopédique et traumatologique, CHU Rouen - Charles-Nicolle, 1, rue de Germont, 76031 Rouen, France.</nlm:affiliation></affiliation></author><author><name sortKey="Potage, D" sort="Potage, D" uniqKey="Potage D" first="D" last="Potage">D. Potage</name><affiliation><nlm:affiliation>Département de chirurgie orthopédique et traumatologique, CHU Rouen - Charles-Nicolle, 1, rue de Germont, 76031 Rouen, France.</nlm:affiliation></affiliation></author><author><name sortKey="Duparc, F" sort="Duparc, F" uniqKey="Duparc F" first="F" last="Duparc">F. Duparc</name><affiliation><nlm:affiliation>Laboratoire d'anatomie, faculté de médecine de Rouen, 22, boulevard Gambetta, 76183 Rouen, France.</nlm:affiliation></affiliation></author><author><name sortKey="Dujardin, F" sort="Dujardin, F" uniqKey="Dujardin F" first="F" last="Dujardin">F. Dujardin</name><affiliation><nlm:affiliation>Département de chirurgie orthopédique et traumatologique, CHU Rouen - Charles-Nicolle, 1, rue de Germont, 76031 Rouen, France.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Orthopaedics & traumatology, surgery & research : OTSR</title><idno type="eISSN">1877-0568</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Cadaver</term><term>Female</term><term>Humans</term><term>Knee Joint (anatomy & histology)</term><term>Knee Joint (surgery)</term><term>Male</term><term>Minimally Invasive Surgical Procedures (methods)</term><term>Muscle, Skeletal (anatomy & histology)</term><term>Orthopedic Procedures (methods)</term><term>Tendons (transplantation)</term><term>Tissue and Organ Harvesting (methods)</term></keywords><keywords scheme="MESH" qualifier="anatomy & histology" xml:lang="en"><term>Knee Joint</term><term>Muscle, Skeletal</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Minimally Invasive Surgical Procedures</term><term>Orthopedic Procedures</term><term>Tissue and Organ Harvesting</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Knee Joint</term></keywords><keywords scheme="MESH" qualifier="transplantation" xml:lang="en"><term>Tendons</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Cadaver</term><term>Female</term><term>Humans</term><term>Male</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Harvesting the semitendinosus (ST) and gracilis (GR) tendons at the anteromedial side of the knee may be hampered by a conjoint tendon insertion on the tibial metaphysis and an accessory bundle between the ST and the medial gastrocnemius. Locating and sparing the terminal branches of the saphenous nerve are difficult on an anteromedial approach. The principal objective of the present anatomic study was to assess the feasibility of ST and GR harvesting from a minimally invasive posterior approach in the popliteal fossa. The secondary objective was to analyze the risk of saphenous nerve branch lesion during harvesting.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">25701163</PMID><DateCreated><Year>2015</Year><Month>4</Month><Day>3</Day></DateCreated><DateCompleted><Year>2015</Year><Month>12</Month><Day>01</Day></DateCompleted><DateRevised><Year>2015</Year><Month>4</Month><Day>3</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1877-0568</ISSN><JournalIssue CitedMedium="Internet"><Volume>101</Volume><Issue>2</Issue><PubDate><Year>2015</Year><Month>Apr</Month></PubDate></JournalIssue><Title>Orthopaedics & traumatology, surgery & research : OTSR</Title><ISOAbbreviation>Orthop Traumatol Surg Res</ISOAbbreviation></Journal><ArticleTitle>Minimally invasive posterior approach in the popliteal fossa for semitendinosus and gracilis tendon harvesting: an anatomic study.</ArticleTitle><Pagination><MedlinePgn>167-72</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.otsr.2014.12.009</ELocationID><ELocationID EIdType="pii" ValidYN="Y">S1877-0568(15)00035-3</ELocationID><Abstract><AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">Harvesting the semitendinosus (ST) and gracilis (GR) tendons at the anteromedial side of the knee may be hampered by a conjoint tendon insertion on the tibial metaphysis and an accessory bundle between the ST and the medial gastrocnemius. Locating and sparing the terminal branches of the saphenous nerve are difficult on an anteromedial approach. The principal objective of the present anatomic study was to assess the feasibility of ST and GR harvesting from a minimally invasive posterior approach in the popliteal fossa. The secondary objective was to analyze the risk of saphenous nerve branch lesion during harvesting.</AbstractText><AbstractText Label="METHOD" NlmCategory="METHODS">Ten cadaver knees, free of scarring, were used. The whole body was positioned supine. The tendons were located in the popliteal fossa with the knee in 30° flexion. A mini-incision was performed in the fossa. The ST and GR tendons were located, and retrograde followed by anterograde stripping was performed. Tendon lengths and diameters were measured. The knees were then dissected to check for saphenous nerve branch lesions (anterior, infrapatellar and posterior branches).</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">The GR and ST tendons were respectively located at 14.4 and 24 mm from the medial edge of the knee. In 90% of cases, there was an accessory ST bundle toward the medial gastrocnemius muscle, 26 mm below the posterior edge. Tendons could be harvested without deviation of the stripper. Knee dissection did not find any saphenous nerve branches, these being protected by the sartorius fascia.</AbstractText><AbstractText Label="DISCUSSION" NlmCategory="CONCLUSIONS">Posterior ST and GR tendon harvesting in the popliteal fossa is reliable and reproducible. It allows easy sectioning of the accessory ST bundle, without deviation during retrograde stripping. Unlike anterior harvesting, which leads to a rate of saphenous branch lesion of 50-78%, posterior harvesting protects the nerve branches by keeping away from the sartorius.</AbstractText><AbstractText Label="LEVEL OF EVIDENCE" NlmCategory="METHODS">Level 4.</AbstractText><CopyrightInformation>Copyright © 2015 Elsevier Masson SAS. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Roussignol</LastName><ForeName>X</ForeName><Initials>X</Initials><AffiliationInfo><Affiliation>Département de chirurgie orthopédique et traumatologique, CHU Rouen - Charles-Nicolle, 1, rue de Germont, 76031 Rouen, France. Electronic address: xavier.roussignol@chu-rouen.fr.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bertiaux</LastName><ForeName>S</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Hôpital privé de l'Estuaire, 505, rue Irène-Joliot-Curie, 76620 Le Havre, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rahali</LastName><ForeName>S</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Département de chirurgie orthopédique et traumatologique, CHU Rouen - Charles-Nicolle, 1, rue de Germont, 76031 Rouen, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Potage</LastName><ForeName>D</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Département de chirurgie orthopédique et traumatologique, CHU Rouen - Charles-Nicolle, 1, rue de Germont, 76031 Rouen, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Duparc</LastName><ForeName>F</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Laboratoire d'anatomie, faculté de médecine de Rouen, 22, boulevard Gambetta, 76183 Rouen, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Dujardin</LastName><ForeName>F</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Département de chirurgie orthopédique et traumatologique, CHU Rouen - Charles-Nicolle, 1, rue de Germont, 76031 Rouen, France.</Affiliation></AffiliationInfo></Author></AuthorList><Language>ENG</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2015</Year><Month>Feb</Month><Day>18</Day></ArticleDate></Article><MedlineJournalInfo><Country>France</Country><MedlineTA>Orthop Traumatol Surg Res</MedlineTA><NlmUniqueID>101494830</NlmUniqueID><ISSNLinking>1877-0568</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D002102" MajorTopicYN="N">Cadaver</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007719" MajorTopicYN="N">Knee Joint</DescriptorName><QualifierName UI="Q000033" MajorTopicYN="Y">anatomy & histology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D019060" MajorTopicYN="N">Minimally Invasive Surgical Procedures</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D018482" MajorTopicYN="N">Muscle, Skeletal</DescriptorName><QualifierName UI="Q000033" MajorTopicYN="Y">anatomy & histology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D019637" MajorTopicYN="N">Orthopedic Procedures</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D013710" MajorTopicYN="N">Tendons</DescriptorName><QualifierName UI="Q000637" MajorTopicYN="Y">transplantation</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D020858" MajorTopicYN="N">Tissue and Organ Harvesting</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Anatomic study</Keyword><Keyword MajorTopicYN="N">Gracilis tendon</Keyword><Keyword MajorTopicYN="N">Minimally invasive surgery</Keyword><Keyword MajorTopicYN="N">Popliteal fossa</Keyword><Keyword MajorTopicYN="N">Semitendinosus tendon</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2014</Year><Month>5</Month><Day>10</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2014</Year><Month>11</Month><Day>26</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2014</Year><Month>12</Month><Day>7</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2015</Year><Month>2</Month><Day>22</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2015</Year><Month>2</Month><Day>24</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2015</Year><Month>12</Month><Day>15</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">25701163</ArticleId><ArticleId IdType="pii">S1877-0568(15)00035-3</ArticleId><ArticleId IdType="doi">10.1016/j.otsr.2014.12.009</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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