{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T20:35:51Z","timestamp":1773606951057,"version":"3.50.1"},"reference-count":34,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2011,8,10]],"date-time":"2011-08-10T00:00:00Z","timestamp":1312934400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2012,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>The purpose of this study was to investigate the risk of common peroneal nerve injury in FM drilling as compared to transtibial drilling in anatomical double\u2010bundle ACL reconstruction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Ten cadaveric knees without ligament injury or significant arthritis were used for this study. Knees were secured at 90\u00b0 and 120\u00b0 of flexion. In transtibial drilling groups, a guide pin was drilled through either the anteromedial bundle (AMB) or posterolateral bundle (PLB) tibial insertion site to either the AMB or PLB femoral insertion site (tibial insertion site\u2013femoral insertion site: AM\u2013AM, PL\u2013PL, PL\u2010AM and AM\u2013PL). In FM drilling groups (FM\u2010AM and FM\u2010PL),the pin was drilled at the AMB or PLB femoral insertion site through the FM. We measured the shortest distance between the point at which the pin ran through the lateral cortex of the femur and the ipsilateral common peroneal nerve at a knee flexion of 90\u00b0 and 120\u00b0.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>At a knee flexion of 90\u00b0, the shortest mean distance to the common peroneal nerve was 15.3\u00a0mm in the FM\u2010PL group, 13.4\u00a0mm in the FM\u2010AM group, 27.9\u00a0mm in the PL\u2013PL group, 30.8\u00a0mm in the AM\u2013AM group, 37.8\u00a0mm in the PL\u2013AM group and 29.5\u00a0mm in the AM\u2013PL group. At a knee of flexion 120\u00b0, the mean distance was 17.3\u00a0mm in the FM\u2010PL group, 18.1\u00a0mm in the FM\u2010AM group, 32.2\u00a0mm in the PL\u2013PL group, 36.6\u00a0mm in the AM\u2013AM group, 38.0\u00a0mm in the PL\u2013AM group and 35.2\u00a0mm in the AM\u2013PL group. Significant differences were observed between 90\u00b0 and 120\u00b0 of knee flexion in the FM\u2010AM, PL\u2013PL, AM\u2013AM and AM\u2013PL groups (<jats:italic>P<\/jats:italic> &lt; 0.05).Significant differences were observed at flex 90\u00b0 between the FM\u2010AM group and AM\u2013AM group, and between the FM\u2010AM group and PL\u2013AM group. Significant differences were observed at flex 120\u00b0 between the FM\u2010AM group and AM\u2013AM group, between the FM\u2010AM group and PL\u2013AM group and between the FM\u2010PL group and AM\u2013PL group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The distance to the peroneal nerve in FM drilling was significantly longer at 120\u00b0 than at 90\u00b0 of knee flexion. Therefore, the risk of peroneal injury using FM drilling should decrease at a higher angle of knee flexion.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00167-011-1632-8","type":"journal-article","created":{"date-parts":[[2011,8,9]],"date-time":"2011-08-09T06:22:14Z","timestamp":1312870934000},"page":"838-843","source":"Crossref","is-referenced-by-count":11,"title":["Comparative risk of common peroneal nerve injury in far anteromedial portal drilling and transtibial drilling in anatomical double\u2010bundle ACL reconstruction"],"prefix":"10.1002","volume":"20","author":[{"given":"M.","family":"Otani","sequence":"first","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopedic Surgery Nagoya City University Graduate School of Medical Sciences 1\u2010Kawasumi, Mizuho\u2010Cho 467\u20108601 Mizuho\u2010Ku, Nagoya Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Nozaki","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopedic Surgery Nagoya City University Graduate School of Medical Sciences 1\u2010Kawasumi, Mizuho\u2010Cho 467\u20108601 Mizuho\u2010Ku, Nagoya Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Kobayashi","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopedic Surgery Nagoya City University Graduate School of Medical Sciences 1\u2010Kawasumi, Mizuho\u2010Cho 467\u20108601 Mizuho\u2010Ku, Nagoya Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H.","family":"Goto","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopedic Surgery Nagoya City University Graduate School of Medical Sciences 1\u2010Kawasumi, Mizuho\u2010Cho 467\u20108601 Mizuho\u2010Ku, Nagoya Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K.","family":"Tawada","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopedic Surgery Nagoya City University Graduate School of Medical Sciences 1\u2010Kawasumi, Mizuho\u2010Cho 467\u20108601 Mizuho\u2010Ku, Nagoya Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Y.","family":"Waguri\u2010Nagaya","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopedic Surgery Nagoya City University Graduate School of Medical Sciences 1\u2010Kawasumi, Mizuho\u2010Cho 467\u20108601 Mizuho\u2010Ku, Nagoya Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H.","family":"Okamoto","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopedic Surgery Nagoya City University Graduate School of Medical Sciences 1\u2010Kawasumi, Mizuho\u2010Cho 467\u20108601 Mizuho\u2010Ku, Nagoya Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H.","family":"Iguchi","sequence":"additional","affiliation":[{"name":"<!--<label>2<\/label>--> Department of Arthroplasty Medicine Nagoya City University Graduate School of Medical Sciences 1\u2010Kawasumi, Mizuho\u2010Cho 467\u20108601 Mizuho\u2010Ku, Nagoya Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N.","family":"Watanabe","sequence":"additional","affiliation":[{"name":"<!--<label>2<\/label>--> Department of Arthroplasty Medicine Nagoya City University Graduate School of Medical Sciences 1\u2010Kawasumi, Mizuho\u2010Cho 467\u20108601 Mizuho\u2010Ku, Nagoya Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T.","family":"Otsuka","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopedic Surgery Nagoya City University Graduate School of Medical Sciences 1\u2010Kawasumi, Mizuho\u2010Cho 467\u20108601 Mizuho\u2010Ku, Nagoya 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