Fyllos Apostolos, Raoulis Vasileios, Mitrousias Vasileios, Banios Konstantinos, Chytas Dimitrios, Zibis Aristeidis
Laboratory of Anatomy, Department of Medicine, School of Health Sciences, University of Thessaly, 3 University Str, Biopolis, 41110 Larissa, Greece.
Department of Orthopedic Surgery, University Hospital of Larissa, 3 University Str, Biopolis, 41110 Larissa, Greece.
Diagnostics (Basel). 2021 Oct 28;11(11):2004. doi: 10.3390/diagnostics11112004.
We completed an anatomic cadaver study in order to examine the arterial supply around the knee and to create useful images regarding the arterial surgical anatomy around the knee. A total of four unmatched fresh-frozen cadaveric knees were utilized. There was no medical history of osteoporosis, bony or soft-tissue injury or surgery in any of the knees. The femoral arteries were cannulated with a large catheter at the proximal aspect of the cadavers, and liquid latex in different colours was injected. Τhe specimens were then placed into a bath of 8.0% sodium hypochlorite to complete debridement of the soft tissues to various degrees. The specimens were checked every 15 to 30 min until adequate debridement occurred, and photographs were taken during each stage of this process. Sodium hypochlorite, among others, chemically debrides the vessel walls leaving the casts of the vessel lumens filled with solid coloured latex in order to illustrate the vascular supply pattern to the structures of interest. Knowing the probability of where these arteries should be located adds to the knowledge that surgeons have at their disposal when performing procedures involving arthroscopy, arthroplasty and osteotomies, which can help decrease unnecessary damage to the arteries.
我们完成了一项尸体解剖研究，以检查膝关节周围的动脉供应，并生成有关膝关节周围动脉手术解剖结构的有用图像。总共使用了四个未配对的新鲜冷冻尸体膝关节。这些膝关节均无骨质疏松、骨或软组织损伤或手术史。在尸体近端用大导管插入股动脉，并注入不同颜色的液体乳胶。然后将标本放入8.0%的次氯酸钠浴中，以不同程度完成软组织清创。每15至30分钟检查一次标本，直至清创充分，并在此过程的每个阶段拍照。次氯酸钠等物质通过化学方法清除血管壁，使血管腔内充满固体彩色乳胶的铸型，以显示感兴趣结构的血管供应模式。了解这些动脉的可能位置，有助于外科医生在进行关节镜检查、关节置换术和截骨术等手术时增加可用的知识，从而有助于减少对动脉的不必要损伤。
