{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T02:50:29Z","timestamp":1778035829085,"version":"3.51.4"},"reference-count":22,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2019,12,31]],"date-time":"2019-12-31T00:00:00Z","timestamp":1577750400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2019,12,31]],"date-time":"2019-12-31T00:00:00Z","timestamp":1577750400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2019,12,31]],"date-time":"2019-12-31T00:00:00Z","timestamp":1577750400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2019,12,31]],"date-time":"2019-12-31T00:00:00Z","timestamp":1577750400000},"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":[[2020,2]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>We assessed the risk of injury to the popliteal neurovascular bundle (PNVB) while suturing the posterior horn of the lateral meniscus (PHLM).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We simulated all\u2010inside suturing of the PHLM using magnetic resonance imaging of 60 knees. Lines were drawn from the medial and the lateral edges of the patellar tendon to the PHLM at increasing distances from the posterior cruciate ligament (PCL) to simulate suturing device trajectory. Distance from each line to the PNVB was measured (d). A similar analysis was performed using lines drawn from 1\u00a0cm medial and 1\u00a0cm lateral to the patellar tendon. We compared the average \u201cd\u201d at increasing distances from the PCL, between the different simulated portal entry points. We have also analyzed the association between different demographic characteristics and the shortest distance from the PVNB to the PHLM.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 1200 measurements performed, the simulated suturing trajectory transected the PNVB 343 times (28.6%). At 0\u00a0mm from the PCL, the safest portal was the 1\u2010cm lateral portal (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001), with an average \u201cd\u201d of 2.7\u00a0mm. At 3\u00a0mm, 6\u00a0mm, 9\u00a0mm, and 12\u00a0mm from the PCL, the safest portal was the 1\u2010cm medial portal (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001), with average \u201cd\u201d of 3.8\u00a0mm, 6.9\u00a0mm, 10.1\u00a0mm, and 13.5\u00a0mm, respectively. Average distance between the PHLM and the PNVB was 7.8\u00a0mm. Shorter distance between the PHLM and the PNVB was associated with younger age and female sex (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .014 and .001, respectively).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>All\u2010inside suturing of the PHLM at 0\u00a0mm from the PCL is safer with a more lateral portal. Beyond 3\u00a0mm from the PCL, a more medial portal carries a lower risk to the PNVB. Young and female patients have a shorter distance between the PHLM and the PNVB, suggesting a greater risk for injury to the PNVB. Careful preoperative magnetic resonance imaging assessment may assist in safer portal selection when planning repair of the PHLM.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance<\/jats:title>\n                    <jats:p>This study describes a magnetic resonance imaging\u2013based risk assessment for injury of the PVNB while suturing the PHLM. It allows the orthopaedic surgeon a better understanding of the anatomic relationship between the popliteal neurovascular bundle and the lateral meniscus and can assist in portal selection and safety.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2019.08.041","type":"journal-article","created":{"date-parts":[[2019,12,31]],"date-time":"2019-12-31T11:40:11Z","timestamp":1577792411000},"page":"492-498","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":17,"title":["Avoiding Injury to the Popliteal Neurovascular Bundle in All\u2010Inside Suturing of the Posterior Horn of the Lateral Meniscus: A Magnetic Resonance Imaging Assessment of Portal Selection and Safety"],"prefix":"10.1002","volume":"36","author":[{"given":"Ron","family":"Gilat","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery Yitzhak Shamir Medical Center Zriffin Israel"},{"name":"Tel Aviv University Tel Aviv 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Zriffin Israel"},{"name":"Tel Aviv University Tel Aviv Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dror","family":"Lindner","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Yitzhak Shamir Medical Center Zriffin Israel"},{"name":"Tel Aviv University Tel Aviv 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