{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T21:42:04Z","timestamp":1773610924549,"version":"3.50.1"},"reference-count":20,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2019,4,15]],"date-time":"2019-04-15T00:00:00Z","timestamp":1555286400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2019,4,15]],"date-time":"2019-04-15T00:00:00Z","timestamp":1555286400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2019,4,15]],"date-time":"2019-04-15T00:00:00Z","timestamp":1555286400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2019,4,15]],"date-time":"2019-04-15T00:00:00Z","timestamp":1555286400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["arthroscopyjournal.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2019,5]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To compare the neurovascular proximity of the transpatellar portal with that of the medial and lateral portals and to determine the safe penetration depth for an all\u2010inside device for use on the posterior horn lateral meniscus.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Dissection of the popliteal fossa was performed in 10 cadaveric knees to identify all structures. Arthroscopy was performed using penetration depths of 10, 12, 14, and 16\u00a0mm with the all\u2010inside system through the anteromedial, anterolateral, and transpatellar portals. Penetrations were made 5 and 10\u00a0mm lateral to the posterior horn root at the meniscocapsular junction. Needle\u2010tip distances were measured from the popliteal artery and vein, tibial nerve, and common peroneal nerve.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among 240 trials, the average distance to the popliteal neurovascular bundle using the medial, transpatellar, and lateral approaches was 6.9\u00a0mm, 6.5\u00a0mm, and 3.1\u00a0mm, respectively. The transpatellar\u2010portal needle had a larger distance from the neurovascular bundle than the lateral portal (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .001), with no statistical difference compared with the medial portal (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .58). Compared with the position at a 10\u2010mm distance from the root, the position at a 5\u2010mm distance from the root was closer to the neurovascular bundle in all approaches (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .001). The transpatellar approach set to 14\u00a0mm had a 5% rate of capsular underpenetration and 10% rate of gastrocnemius penetration. The transpatellar and medial portals had no neurovascular penetrations, whereas the lateral approach had a 14% rate of penetration (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The transpatellar portal and anteromedial portal are in less proximity to the neurovascular bundle compared with the anterolateral portal for all\u2010inside meniscal repair of the posterior horn lateral meniscus. Low rates of neurovascular penetration, gastrocnemius muscle penetration, and capsular underpenetration occurred with a depth setting of 14\u00a0mm.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance<\/jats:title>\n                    <jats:p>This study shows the utility of medial and transpatellar portals when using all\u2010inside devices to repair posterior horn lateral meniscal tears and neurovascular proximity based on penetration depth.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2018.12.004","type":"journal-article","created":{"date-parts":[[2019,4,15]],"date-time":"2019-04-15T17:29:59Z","timestamp":1555349399000},"page":"1557-1564","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":14,"title":["Proximity of the Neurovascular Bundle During Posterior\u2010Lateral Meniscal Repair: A Comparison of the Transpatellar, Anteromedial, and Anterolateral Portals"],"prefix":"10.1002","volume":"35","author":[{"given":"Patrick","family":"Massey","sequence":"first","affiliation":[{"name":"Department of Orthopaedics Louisiana State University Health \u2010 Shreveport U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Parker","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics Louisiana State University Health \u2010 Shreveport U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benjamin","family":"Feibel","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics Louisiana State University Health \u2010 Shreveport U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alan","family":"Ogden","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics Louisiana State University Health \u2010 Shreveport U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James","family":"Robinson","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics Louisiana State University Health \u2010 Shreveport U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard S.","family":"Barton","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics Louisiana State University Health \u2010 Shreveport U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,4,15]]},"reference":[{"key":"e_1_2_3_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546511411701"},{"key":"e_1_2_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.recote.2015.03.006"},{"key":"e_1_2_3_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-011-1489-x"},{"key":"e_1_2_3_5_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0030-1248049"},{"key":"e_1_2_3_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2017.06.054"},{"key":"e_1_2_3_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2006.07.030"},{"key":"e_1_2_3_8_2","first-page":"123","article-title":"A\u00a0new modification of the technique of arthroscopy of the knee joint","volume":"142","author":"Gillquist J.","year":"1976","journal-title":"Acta Chir Scand"},{"key":"e_1_2_3_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2007.06.017"},{"key":"e_1_2_3_10_2","first-page":"1","article-title":"How many are enough? Statistical power analysis and sample size estimation in clinical research","volume":"3","author":"Houser J.","year":"2007","journal-title":"J\u00a0Clin Res Best Pract"},{"key":"e_1_2_3_11_2","volume-title":"Fundamentals of biostatistics","author":"Rosner B.","year":"2010"},{"key":"e_1_2_3_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-8063(88)80030-6"},{"key":"e_1_2_3_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2006.04.076"},{"key":"e_1_2_3_14_2","doi-asserted-by":"publisher","DOI":"10.1053\/jars.2000.18243"},{"key":"e_1_2_3_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2005.10.017"},{"key":"e_1_2_3_16_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546516632504"},{"key":"e_1_2_3_17_2","first-page":"298","article-title":"Clinical results of all\u2010inside meniscal repair using the FasT\u2010Fix meniscal repair system","volume":"34","author":"Chiang C.W.","year":"2011","journal-title":"Chang Gung Med J"},{"key":"e_1_2_3_18_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-014-3423-5"},{"key":"e_1_2_3_19_2","volume-title":"FAST\u2010FIX 360 meniscal repair system all\u2010inside meniscal repair","author":"Brown C.","year":"2010"},{"key":"e_1_2_3_20_2","doi-asserted-by":"publisher","DOI":"10.1053\/jars.2002.36146"},{"key":"e_1_2_3_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2016.01.026"}],"container-title":["Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806318311782?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806318311782?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.arthro.2018.12.004","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1016\/j.arthro.2018.12.004","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.arthro.2018.12.004","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T09:12:59Z","timestamp":1773565979000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1016\/j.arthro.2018.12.004"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,4,15]]},"references-count":20,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2019,5]]}},"alternative-id":["10.1016\/j.arthro.2018.12.004"],"URL":"https:\/\/doi.org\/10.1016\/j.arthro.2018.12.004","archive":["Portico"],"relation":{},"ISSN":["0749-8063","1526-3231"],"issn-type":[{"value":"0749-8063","type":"print"},{"value":"1526-3231","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,4,15]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Proximity of the Neurovascular Bundle During Posterior-Lateral Meniscal Repair: A Comparison of the Transpatellar, Anteromedial, and Anterolateral Portals","name":"articletitle","label":"Article Title"},{"value":"Arthroscopy: The Journal of Arthroscopic & Related Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.arthro.2018.12.004","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2019 by the Arthroscopy Association of North America","name":"copyright","label":"Copyright"}]}}