Objective
To evaluate the frequency and morphometry of the Wrisberg's ligament and its relationships with the posterior cruciate ligament's femoral insertion.
Study design
Controlled laboratory study.
Methods
24 unpaired knee pieces, 12 right and 12 left were submitted to a deep dissection of the Wrisberg and posterior cruciate ligaments. The pieces were photographed with a digital camera and ruler; the Image J software was used to measure the ligaments’ insertion areas, in square millimeters.
Results
The Wrisberg ligament was present in 91.6% of the studied pieces. In those its shape was elliptical in 12 pieces (54.54%). In 68% of the knees, the WL insertion was proximal to the medial intercondilar ridge, close to the PCL posteromedial bundle. The average area for the WL was 20.46 ± 6.12 mm
2
. This number corresponded to 23.3% of the PCL's average area.
Conclusions
WL ligament is a common structure in knees. There is a wide variation of its insertion area. Proportionally to the PCL's insertion area the WL ones suggests that it may contribute to the posterior stability of the knee joint.
Objective: The objective of our study was to evaluate the effect that knee flexion angle while femoral tunnels are being drilled may have on the length of these tunnels, in anatomical reconstruction of the anterior cruciate ligament. Methods: We measured the lengths of anteromedial and posterolateral tunnels for the anterior cruciate ligament in 20 unpaired anatomical knee specimens (10 right and 10 left knees), all with the cartilage and cruciate ligaments intact. Tunnels were drilled with the knees flexed at 90°, 110° and 130°, through the accessory anteromedial portal, with a 2.5 mm drill. The statistical analysis was done by means of Friedman's variance analysis and the Mann-Whitney U test. Results: The mean anteromedial femoral tunnel lengths measured with the knees flexed at 90°, 110° and 130° were 33.7 (± 3.72) mm, 37.4 (± 2.93) mm and 38.8 (± 3.31) mm, respectively. For the posterolateral femoral tunnel lengths, the results were 32.1 (± 4.24) mm, 37.3 (± 4.85) mm and 38.4 (± 2.51) mm, respectively. Friedman's variance analysis showed that there was a significant difference between the lengths of the tunnels drilled with 90° and 110° of flexion angle, but showed that there was no significant difference between the tunnels drilled with flexion of 110° and 130° (P < 0.05). Conclusions: It is possible to drill the femoral tunnels through the accessory anteromedial tunnel with the knee flexed at 110° in such a way as to produce a tunnel of sufficient length for a good bone-graft interface.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.