{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T21:28:46Z","timestamp":1791581326852,"version":"4.3.4"},"reference-count":30,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2015,7,8]],"date-time":"2015-07-08T00:00:00Z","timestamp":1436313600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2015,7,8]],"date-time":"2015-07-08T00:00:00Z","timestamp":1436313600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2015,7,8]],"date-time":"2015-07-08T00:00:00Z","timestamp":1436313600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"}],"content-domain":{"domain":["clinicalkey.jp","clinicalkey.com","clinicalkey.es","arthroscopyjournal.org","clinicalkey.com.au","clinicalkey.fr","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2015,11]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To evaluate if different knee flexion angles can modify the neurovascular injury risk during lateral meniscus repair.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Twenty cadaveric knees were studied. An all\u2010inside suture device (FasT\u2010Fix; Smith &amp; Nephew, Andover, MA) was placed at the posterior horn and at the medial and lateral limits of the popliteal hiatus. The minimal distances between the device and the popliteal artery and peroneal nerve were measured with the knee at 90\u00b0, 45\u00b0, and 0\u00b0 of flexion through a limited posterolateral arthrotomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The distance between the device when inserted at the lateral edge of the popliteal hiatus and the peroneal nerve decreased from a median of 26 mm (interquartile range [IQR], 3.5 mm; range, 19 to 29 mm) at 90\u00b0 to 21.5 mm (IQR, 4.5 mm; range, 14 to 25 mm) at 45\u00b0 and 15.5 mm (IQR, 6.5 mm; range, 4 to 20 mm) at 0\u00b0 (significant differences,\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001). The distance between the device when inserted at the medial edge of the popliteal hiatus and the peroneal nerve decreased from 16 mm (IQR, 3.3 mm; range, 9 to 21 mm) at 90\u00b0 to 12 mm (IQR, 4.3 mm; range, 9 to 16 mm) at 45\u00b0 and 7 mm (IQR, 4.0; range, 4 to 15 mm) at 0\u00b0 (significant differences,\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001). The distance between the device when inserted at the medial edge of the popliteal hiatus and the popliteal artery decreased from 21 mm (IQR, 5.0 mm; range, 11 to 27 mm) at 90\u00b0 to 19 mm (IQR, 5.0 mm; range, 10 to 23 mm) at 45\u00b0 and 16 mm (IQR, 7.5 mm; range, 10 to 23 mm) at 0\u00b0 (significant differences,\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001). The distance between the device when inserted 5 mm lateral to the posterior root of the lateral meniscus and the popliteal artery decreased from 13 mm (IQR, 4.3 mm; range, 7 to 27 mm) at 90\u00b0 to 10.5 mm (IQR, 4.3 mm; range, 4 to 19 mm) at 45\u00b0 and 5.5 mm (IQR, 4.0 mm; range, 0 to 14 mm) at 0\u00b0 (significant differences,\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The risk of injury to the popliteal artery or to the peroneal nerve during all\u2010inside repair of the posterior half of the lateral meniscus is lower at 90\u00b0 of flexion and increases with knee extension to 45\u00b0 and 0\u00b0.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance<\/jats:title>\n                    <jats:p>All\u2010inside meniscal repair of the lateral meniscus is safer with the knee at 90\u00b0 of flexion.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2015.04.100","type":"journal-article","created":{"date-parts":[[2015,7,8]],"date-time":"2015-07-08T09:10:24Z","timestamp":1436346624000},"page":"2138-2144","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":48,"title":["The Effect of Knee Flexion Angle on the Neurovascular Safety of All\u2010Inside Lateral Meniscus Repair: A Cadaveric Study"],"prefix":"10.1002","volume":"31","author":[{"given":"Adri\u00e1n","family":"Cu\u00e9llar","sequence":"first","affiliation":[{"name":"Department of Surgery and Radiology University of Basque Country Vizcaya Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ricardo","family":"Cu\u00e9llar","sequence":"additional","affiliation":[{"name":"Department of Surgery and Radiology University of Basque Country Vizcaya Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asier","family":"Cu\u00e9llar","sequence":"additional","affiliation":[{"name":"Department of Surgery and Radiology University of Basque Country Vizcaya Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ignacio","family":"Garcia\u2010Alonso","sequence":"additional","affiliation":[{"name":"Department of Surgery and Radiology University of Basque Country Vizcaya Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miguel Angel","family":"Ruiz\u2010Ib\u00e1n","sequence":"additional","affiliation":[{"name":"Department of Traumatology and Orthopaedic Surgery Ramon and Cajal Hospital Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,7,8]]},"reference":[{"key":"e_1_2_2_2_2","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-200205000-00003"},{"key":"e_1_2_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/0749-8063(95)90011-X"},{"key":"e_1_2_2_4_2","doi-asserted-by":"publisher","DOI":"10.1053\/jars.2001.8016"},{"key":"e_1_2_2_5_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.67B1.3881452"},{"key":"e_1_2_2_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2005.12.040"},{"key":"e_1_2_2_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2009.03.015"},{"key":"e_1_2_2_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-8063(86)80005-6"},{"key":"e_1_2_2_9_2","first-page":"2","article-title":"The effect of suture type on meniscus repair. 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