{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,6]],"date-time":"2026-01-06T13:35:40Z","timestamp":1767706540335},"reference-count":19,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2010,10,14]],"date-time":"2010-10-14T00:00:00Z","timestamp":1287014400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Anatomy"],"published-print":{"date-parts":[[2010,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The transversal support tibial plateau (TSTP) concept was developed to retain both cruciate ligaments during total knee arthroplasty. TSTP design consists of two individual joint surfaces, reinforced beneath the joint line by two joint surface supports and buttressed by a single transversal support (TS). This configuration is devised to provide good bony anchoring especially for the TS, and to ensure long\u2010term alignment of the individual joint surfaces. TS insertion requires a small extra incision. This study assessed techniques to implant the TS into the tibia. Using a specially designed aiming device, TS insertion from each side was evaluated in 13 human cadaveric knees (10 formalin\u2010fixed, two Thiel embalmed, one fresh) at defined intervals of 15, 25, and 35 mm beneath the joint line. Particular attention was paid to potentially endangered structures, e.g., the medial collateral ligament (MCL), pes anserinus, and common peroneal nerve, as well as impediments to insertion, e.g., the fibula. TS implantation was successfully performed using both medial and lateral approaches. From medial, the TS was inserted safely at the 15 mm interval with the knee in maximum flexion and external rotation. With increasing intervals, however, the MCL and pes anserinus became progressively more susceptible to injury. In contrast, with the lateral approach, the operative field was quite close to the fibular head for the 25 mm interval. However, with the knee in extension, no other important structures were at risk. Clin. Anat. 23:985\u2013991, 2010. \u00a9 2010 Wiley\u2010Liss, Inc.<\/jats:p>","DOI":"10.1002\/ca.21031","type":"journal-article","created":{"date-parts":[[2010,10,14]],"date-time":"2010-10-14T15:11:42Z","timestamp":1287069102000},"page":"985-991","source":"Crossref","is-referenced-by-count":4,"title":["Surgical approach for a new knee prosthesis concept (TSTP) retaining both cruciate ligaments"],"prefix":"10.1002","volume":"23","author":[{"given":"Andrej M.","family":"Nowakowski","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Magdalena","family":"M\u00fcller\u2010Gerbl","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Victor","family":"Valderrabano","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2010,10,14]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-004-0565-x"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0883-5403(98)90198-X"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199610000-00015"},{"key":"e_1_2_6_5_1","first-page":"342","volume-title":"Handbuch der Anatomie und Mechanik der Gelenke","author":"Fick R","year":"1904"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/00004356-200203000-00010"},{"key":"e_1_2_6_7_1","doi-asserted-by":"crossref","DOI":"10.1007\/978-3-642-59347-5","volume-title":"LCS\u00ae Mobile Bearing Knee Arthroplasty. 25 Years of Worldwide Experience","author":"Hamelynck KJ","year":"2002"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s001320170085"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s007760050058"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2007.07.019"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200704000-00012"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0883-5403(97)90008-5"},{"key":"e_1_2_6_13_1","unstructured":"NowakowskiAM.2002.Dynamische In\u2010vitro\u2010Kraft\u2010 Bewegungs\u2010 und Druckanalyse an beweglichen Meniskallagern unterschiedlicher Konzeption nach alloplastischem Kniegelenkersatz. URL:http:\/\/edok.bib.mh\u2010hannover.de\/ediss\/diss\u2010nowakowski.pdf[accessed January 2003]."},{"key":"e_1_2_6_14_1","first-page":"419","article-title":"Das Transversaltr\u00e4ger\u2010Tibiaplateau (TTTP)","volume":"42","author":"Nowakowski AM","year":"2006","journal-title":"Orthop\u00e4dische Praxis"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1080\/000164700317393376"},{"key":"e_1_2_6_16_1","doi-asserted-by":"crossref","first-page":"1625","DOI":"10.2106\/00004623-200408000-00004","article-title":"Anatomic location of the peroneal nerve at the level of the proximal aspect of the tibia: Gerdy's safe zone","volume":"86","author":"Rubel IF","year":"2004","journal-title":"J Bone Joint Surg Am"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0883-5403(99)90054-2"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1054\/arth.2000.4638"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0940-9602(11)80346-8"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0940-9602(02)80121-2"}],"container-title":["Clinical Anatomy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fca.21031","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ca.21031","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,17]],"date-time":"2023-10-17T03:10:50Z","timestamp":1697512250000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ca.21031"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010,10,14]]},"references-count":19,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2010,11]]}},"alternative-id":["10.1002\/ca.21031"],"URL":"https:\/\/doi.org\/10.1002\/ca.21031","archive":["Portico"],"relation":{},"ISSN":["0897-3806","1098-2353"],"issn-type":[{"value":"0897-3806","type":"print"},{"value":"1098-2353","type":"electronic"}],"subject":[],"published":{"date-parts":[[2010,10,14]]}}}