Proximity of the neurovascular structures during all-inside lateral meniscal repair in children: a cadaveric study

All-inside meniscal repair has gained widespread popularity over recent years. The devices and techniques have rapidly evolved, resulting in increased ease of use and reduced surgical times and risk to the neurovascular structures. Despite these advances, inside-out suture repairs remain the current gold standard, with proven long-term results. All-inside techniques must continue to be compared to inside-out meniscal repair.

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Meniscal repair with the MaxFire device: a cadaveric study

Orthopaedic Surgery ◽

10.1111/j.1757-7861.2011.00151.x ◽

2011 ◽

Vol 3 (4) ◽

pp. 259-264 ◽

Cited By ~ 5

Author(s):

Rickland L Likes ◽

Abhishek Julka ◽

Brian C Aros ◽

Angela D Pedroza ◽

Christopher C Kaeding ◽

...

Keyword(s):

Meniscal Repair ◽

Cadaveric Study

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Safety of neurovascular structures in ankle arthroscopy: cadaveric study

International Journal of Orthopaedics Sciences ◽

10.22271/ortho.2020.v6.i3j.2261 ◽

2020 ◽

Vol 6 (3) ◽

pp. 625-627

Author(s):

Ashish Gohiya ◽

Dr. Arvind Karoria ◽

Sourabh Alawa ◽

Anshul Khare

Keyword(s):

Cadaveric Study ◽

Ankle Arthroscopy ◽

Neurovascular Structures

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Percutaneous cubital tunnel release with a dissection thread: a cadaveric study

Journal of Hand Surgery (European Volume) ◽

10.1177/1753193419856591 ◽

2019 ◽

Vol 44 (9) ◽

pp. 920-924

Author(s):

Danqing Guo ◽

Michel Kliot ◽

Logan McCool ◽

Alexander Senk ◽

Brionn Tonkin ◽

...

Keyword(s):

Ulnar Nerve ◽

Ultrasound Guidance ◽

Cadaveric Study ◽

Cubital Tunnel ◽

Anatomical Dissection ◽

Direct Injury ◽

Prerequisite Knowledge ◽

Fresh Frozen ◽

Extent Of Damage ◽

Neurovascular Structures

This cadaveric study tested the feasibility of decompressing the ulnar nerve across the elbow percutaneously with a commercially available surgical dissection thread, a guiding needle, hydrodissection and ultrasound guidance. We performed the procedure in 19 fresh-frozen cadaveric upper extremities. Subsequently, we did an anatomical dissection of the specimens to visualize the extent of ulnar nerve decompression and the extent of damage to surrounding structures. The cubital tunnel and deep across the medial elbow were completely transected leaving the ulnar nerve fully decompressed in all cases. There was no evidence of direct injury to the ulnar nerve or adjacent neurovascular structures. A prerequisite knowledge of sonographic anatomy and experience with interventional ultrasound is essential. Future clinical studies should evaluate this technique’s safety and efficacy compared with conventional ones.

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Deep flexion helps to avoid popliteal artery injury during all-inside lateral meniscal repair: A cadaveric study

The Knee ◽

10.1016/j.knee.2021.09.004 ◽

2021 ◽

Vol 33 ◽

pp. 159-168

Author(s):

Takafumi Mizuno ◽

Hideki Hiraiwa ◽

Takashi Tsukahara ◽

Shinya Ishizuka ◽

Satoshi Yamashita ◽

...

Keyword(s):

Popliteal Artery ◽

Meniscal Repair ◽

Cadaveric Study ◽

Deep Flexion ◽

Artery Injury

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All-Inside Lateral Meniscal Repair via Anterolateral Portal Increases Risk of Vascular Injury: A Cadaveric Study

Arthroscopy The Journal of Arthroscopic and Related Surgery ◽

10.1016/j.arthro.2019.07.023 ◽

2020 ◽

Vol 36 (1) ◽

pp. 225-232 ◽

Cited By ~ 4

Author(s):

David Weijia Mao ◽

Upasana Upadhyay ◽

Srikiran Thalanki ◽

Dave Yee Han Lee

Keyword(s):

Vascular Injury ◽

Meniscal Repair ◽

Cadaveric Study ◽

Anterolateral Portal

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Effectiveness and Safety in Closed Mini-Transverse Incision with Hydro-Dissection Technique in Carpal Tunnel Release: A Cadaveric Study

The Journal of Hand Surgery (Asian-Pacific Volume) ◽

10.1142/s2424835519500309 ◽

2019 ◽

Vol 24 (02) ◽

pp. 224-228

Author(s):

Jirapong Leeyaphan ◽

Rosarin Ratanalekha

Keyword(s):

Median Nerve ◽

Carpal Tunnel ◽

Carpal Tunnel Release ◽

Ulnar Artery ◽

Cadaveric Study ◽

Transverse Carpal Ligament ◽

Transverse Incision ◽

Special Instrument ◽

Dissection Technique ◽

Neurovascular Structures

Background: Closed mini-wrist transverse incision for carpal tunnel release has been reported in decreasing surgical scar problems, but there were few cadaveric studies that proved the effectiveness and safety in this technique without protective instrument to the median nerve. Hydro-dissection was previously showed to separate median nerve and deep structures during percutaneous ultrasound guided transverse carpal ligament release. This cadaveric study aims to demonstrated effectiveness and safety of closed transverse carpal ligament (TCL) release though the mini-transverse incision at distal wrist crease combined with hydrodissection technique. Neither special instrument nor retractor was used to protect neurovascular structures. Methods: Twelve fresh frozen cadaveric wrists were included in this study. Completeness of TCL release and injury to the adjacent neurovascular structures were assessed by direct visualization. Thickness of TCL, TCL length and distance from incision to adjacent neurovascular structures were also recorded. Results: Complete release of TCL was demonstrated in all 12 (100%) wrists underwent the mini-transverse incision TCL release at distal wrist crease and hydro-dissection technique. No injury to the adjacent neurovascular structures was found in all 12 wrists. Mean of thickness of TCL and TCL length were 3 mm and 28.7 mm, respectively. The ulnar artery was the nearest structure to the incision (mean = 3.7 mm). Conclusions: The closed mini-transverse incision TCL release at distal wrist crease with hydro-dissection technique demonstrated completeness of TCL division and safety to the neurovascular structures without protecting retractor or special instrument.

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