Anatomy, Function, and Surgical Access of the Iliotibial Band in Total Knee Arthroplasty by Leo A. Whiteside, and Marcel E. Roy J Bone Joint Surg Am Volume.

Slides:

Advertisements

Similar presentations

Knee injury. This is a coronal proton density weighted image of the knee. Do you think we are in the front or back of the knee? We are in the back, you.

Advertisements

DISSECTION OF THE KNEE JOINT

Sports Medicine Class Mr. Steve Gross The Master of all Knowledge

The Ligament Anatomy of the Deltoid Complex of the Ankle: A Qualitative and Quantitative Anatomical Study by Kevin J. Campbell, Max P. Michalski, Katharine.

Knee & Thigh Chapter 7 Objectives: UNDERSTAND:

Outcomes of Treatment of Acute Grade-III Isolated and Combined Posterolateral Knee Injuries by Andrew G. Geeslin, and Robert F. LaPrade J Bone Joint Surg.

Knee Tibiofemoral Joint.

Hip and Pelvis Ms. Bowman.

Lab 5: Lower Extremities - Part 2

APR breakout group: Lecture Topic: Knee Joint Lois Borek Scott Dunham Alfredo Munoz Betsy Ott Eric Sun Tony Weinhaus.

Effects of Posterolateral Reconstructions on External Tibial Rotation and Forces in a Posterior Cruciate Ligament Graft by Keith L. Markolf, Benjamin R.

THE KNEE JOINT. BONES OF THE KNEE FEMUR Lateral condyle (6 left) Medial condyle (8 left) Intercondylar fossa (7 left)

The Knee Joint.

Knee (Tibiofemoral) Joint

Knee Anatomy Sports Medicine. Knee Joint The most poorly constructed joint in the body. Femur round, tibia flat. Comprised of four bones. –Femur –Tibia.

Anatomy of the Knee.

Part 4 Anatomies of the Lower Limbs The knee, Thigh, Hip and Groin

by Coen A. Wijdicks, Chad J

Elbow Joint Brian Martin.

By: Emily Drake & Baylie Wilson.  Functional: Diarthroses (freely moving)  Structural: Synovial joint (filled with synovial fluid)  The knee joint.

The Recurrent Unstable Elbow: Diagnosis and Treatment by Anand M. Murthi, Jay D. Keener, April D. Armstrong, and Charles L. Getz J Bone Joint Surg Am Volume.

C H. 18 T HE K NEE. O BJECTIVES Describe the functions of the knee Describe the ligament structure of the knee Explain the function of the patellofemoral.

Replacement of the Torn Posterior Cruciate Ligament with a Mid-Third Patellar Tendon Graft with Use of a Modified Tibial Inlay Method by Young-Bok Jung,

Management of Mason Type-III Radial Head Fractures with a Titanium Prosthesis, Ligament Repair, and Early Mobilization by G.I. Bain, N. Ashwood, R. Baird,

Computer-Assisted Navigation in Total Knee Replacement: Results of an Initial Experience in Thirty-five Patients by S. David Stulberg, Peter Loan, and.

Sports Medicine 2 J. Cresimore EFHS

Outcomes of an Anatomic Posterolateral Knee Reconstruction

Emily Delello Salene Sheridan

The Knee Joint Largest and Most Complex Joint. Structure of the Knee Lateral and Medial Epicondyles Lateral and Medial Epicondyles on both femur and tibia.

by T. Dreher, F. Braatz, S. I. Wolf, V. Ewerbeck, D. Heitzmann, W

Knee Palpations MMT and Special Tests.

The Knee From the Sports Medicine Perspective Bony Anatomy Femur Patella Tibia Fibula.

Mr Lee Van Rensburg October J Shoulder Elbow Surg (2012) 21,  Flexion extension axis  Centre capitellum to anteroinferior medial epicondyle.

by ANDRE R. GAZDAG, and ANDREA CRACCHIOLO

Volume 91(Supplement 2 Part 1):50-73

Functional Problems and Arthrofibrosis Following Total Knee Arthroplasty by Thorsten M. Seyler, David R. Marker, Anil Bhave, Johannes F. Plate, German.

Myology Myology of the Knee.

Evaluation of a knee. Knee Anatomy  2 cruciate ligaments  Anterior Cruciate (ACL)  Posterior Cruciate (PCL)  2 collateral ligaments  Lateral Collateral.

Anatomy of the Knee Not a true hinge joint.

Total Knee Arthroplasty for Arthritis of the Knee with Extra- Articular Deformity by Jun-Wen Wang, and Ching-Jen Wang J Bone Joint Surg Am Volume 84(10):

Computer-Assisted Minimally Invasive Total Knee Arthroplasty Compared with Standard Total Knee Arthroplasty by Andrew Quoc Dutton, and Seng-Jin Yeo JBJS.

Chapter 6 The Knee continued. Clinical Evaluation of Knee and Leg Injuries Evaluation Map – Page 196 Patient preparedness Compressive forces, shear forces,

Effect of the Angle of the Femoral and Tibial Tunnels in the Coronal Plane and Incremental Excision of the Posterior Cruciate Ligament on Tension of an.

Valgus TKA: Balancing Technique

KNEE JOINT -ANATOMY John Erasmus Klibanoff, MD, LTC USAR (ret) Orthopaedic Surgeon Orthopaedic Associates of Rochester.

LECTURE 35 DR FARHAT AAMIR LECTURER ANATOMY

The Knee Anatomy Assessment Injuries. Anatomy Hinge joint: flexion and extension Bones: tibia, fibula, femur, patella Menisci: medial and lateral Ligaments:

Snapping of the Medial Head of the Triceps and Recurrent Dislocation of the Ulnar Nerve. Anatomical and Dynamic Factors*† by ROBERT J. SPINNER, and RICHARD.

Comparison of the Vastus-Splitting and Median Parapatellar Approaches for Primary Total Knee Arthroplasty: A Prospective, Randomized Study by Matthew J.

Disclaimer/Terms of use slide

Copyright © 2015 by the American Osteopathic Association.

The Anatomy of the Knee: Muscles and Tendons

Copyright © 2015 by the American Osteopathic Association.

Copyright © 2015 by the American Osteopathic Association.

Bones, Ligaments, Muscles, & Soft Tissue

Knee Ms. Bowman.

Disclaimer/Terms of use slide

Disclaimer/Terms of use slide

Knee Joint and Ligaments

BEHAVIORAL CHARACTERISTICS OF STRUCTURES AROUND THE KNEE.

Disclaimer/Terms of use slide

Knee Anatomy Fall 2017.

IN THE NAME OF GOD Dr Parisa Taheri 11/13/2018.

ITB Ultrasound Scanning

Semnan University of Medical Sciences Rehabilitation Faculty Semnan University of Medical Sciences.

The Knee Anatomy and Injuries

Knee Injuries Anatomy.

Presentation transcript:

Anatomy, Function, and Surgical Access of the Iliotibial Band in Total Knee Arthroplasty by Leo A. Whiteside, and Marcel E. Roy J Bone Joint Surg Am Volume 91(Supplement 6): November 1, 2009 ©2009 by The Journal of Bone and Joint Surgery, Inc.

The iliotibial band is connected broadly to the bone structures below the knee. Leo A. Whiteside, and Marcel E. Roy J Bone Joint Surg Am 2009;91: ©2009 by The Journal of Bone and Joint Surgery, Inc.

The posterior portion of the iliotibial band tightens in extension, and tethers the central band, holding it posteriorly so that the central band fibers are angled anteriorly. Leo A. Whiteside, and Marcel E. Roy J Bone Joint Surg Am 2009;91: ©2009 by The Journal of Bone and Joint Surgery, Inc.

The anterior portion of the iliotibial band tightens in flexion and its attachments to the patella tether the central portion of the iliotibial band, holding it anteriorly so that the central fibers are angled posteriorly. Leo A. Whiteside, and Marcel E. Roy J Bone Joint Surg Am 2009;91: ©2009 by The Journal of Bone and Joint Surgery, Inc.

The posterior portion of the iliotibial band attaches firmly to the biceps femoris muscle and tendon. Leo A. Whiteside, and Marcel E. Roy J Bone Joint Surg Am 2009;91: ©2009 by The Journal of Bone and Joint Surgery, Inc.

When the knee is in flexion, the posterior portion of the iliotibial band slackens but remains closely applied to the lateral collateral ligament (LCL) and other epicondylar ligament structures of the lateral side of the knee. Leo A. Whiteside, and Marcel E. Roy J Bone Joint Surg Am 2009;91: ©2009 by The Journal of Bone and Joint Surgery, Inc.

The posterior portion of the iliotibial band has been transected and partially elevated from the underlying structures, and a clamp has been inserted through a medial parapatellar arthrotomy to reach the posterior portion of the iliotibial band. Leo A. Whiteside, and Marcel E. Roy J Bone Joint Surg Am 2009;91: ©2009 by The Journal of Bone and Joint Surgery, Inc.

The posterior portion of the iliotibial band has been elevated, exposing the epicondylar ligamentous structures. Leo A. Whiteside, and Marcel E. Roy J Bone Joint Surg Am 2009;91: ©2009 by The Journal of Bone and Joint Surgery, Inc.

Complete release of the iliotibial band can be done outside the synovial membrane and without damaging the lateral ligaments. Leo A. Whiteside, and Marcel E. Roy J Bone Joint Surg Am 2009;91: ©2009 by The Journal of Bone and Joint Surgery, Inc.

This clinical case illustrates how, during total knee arthroplasty, selective release of the iliotibial band can restore stability to the valgus knee with a conservative operative procedure. Leo A. Whiteside, and Marcel E. Roy J Bone Joint Surg Am 2009;91: ©2009 by The Journal of Bone and Joint Surgery, Inc.

The patella (P) has been retracted medially and the interval between the deep fascia and the iliotibial band has been dissected, exposing the posterior portion of the iliotibial band. Leo A. Whiteside, and Marcel E. Roy J Bone Joint Surg Am 2009;91: ©2009 by The Journal of Bone and Joint Surgery, Inc.

The posterior portion is transected with a knife while the synovial membrane (S) is left intact. Leo A. Whiteside, and Marcel E. Roy J Bone Joint Surg Am 2009;91: ©2009 by The Journal of Bone and Joint Surgery, Inc.

The posterior portion of the iliotibial band has been partially transected, leaving the posterior joint anterior to the biceps femoris. Leo A. Whiteside, and Marcel E. Roy J Bone Joint Surg Am 2009;91: ©2009 by The Journal of Bone and Joint Surgery, Inc.

The posterior portion of the iliotibial band has been completely transected, and the fibers of the biceps femoris muscle are exposed. Leo A. Whiteside, and Marcel E. Roy J Bone Joint Surg Am 2009;91: ©2009 by The Journal of Bone and Joint Surgery, Inc.

The knee is fully extended and the fibers of the remaining iliotibial band are held with forceps. Leo A. Whiteside, and Marcel E. Roy J Bone Joint Surg Am 2009;91: ©2009 by The Journal of Bone and Joint Surgery, Inc.

The knee is flexed and a finger is used to palpate the edge of the remaining anterior portion of the iliotibial band. Leo A. Whiteside, and Marcel E. Roy J Bone Joint Surg Am 2009;91: ©2009 by The Journal of Bone and Joint Surgery, Inc.

With the knee in 90° of flexion and with varus stress applied, the remaining anterior (A-ITB) portion of the iliotibial band becomes tight, thus providing lateral stability to the knee. Leo A. Whiteside, and Marcel E. Roy J Bone Joint Surg Am 2009;91: ©2009 by The Journal of Bone and Joint Surgery, Inc.

The posterior portion of the iliotibial band has been completely transected, and the fibers of the biceps femoris muscle are exposed. Leo A. Whiteside, and Marcel E. Roy J Bone Joint Surg Am 2009;91: ©2009 by The Journal of Bone and Joint Surgery, Inc.