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Arterial blood supply of the infrapatellar fat pad

Anatomy and clinical consequences

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Abstract

The arterial blood supply to the infrapatellar fat pad (Hoffa's fat pad) was investgated in 12 knee joints of human cadavers. The infrapatellar fat pad is supplied by an anastomotic network which displays some striking topographic features. Its vascular blood supply protects it against necrosis, when either reconstructive operations are carried out or extensive surgical exposures of the knee are done. The blood supply to the center of the fat pad is limited. This is of practical importance for the choice of arthroscopic portals. In addition, arthroscopically verified sources of bleeding are described in 57 patients with hemarthrosis without clinically detectable instability. Rupture of the infrapatellar synovial fold can be a cause of posttraumatic hemarthrosis in rare cases. Arteries irregularly found within the fold contribute to the blood supply of the anterior aspect of the synovial membrane covering the cruciate ligaments.

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References

  1. Arnoczky SP (1985) Blood supply to the anterior cruciate ligament and supporting structures. Orthop Clin North Am 16:15–28

    Google Scholar 

  2. Benedetto KP, Klima G (1986) Der Einfluss des Hoffa'schen Fettkoerpers auf die Revaskularisation des rupturierten vorderen Kreuzbandes. Eine histologische Studie am Kaninchenmodell. Z Orthop 124:262–265

    Google Scholar 

  3. Dunlap J, McCarthy JA, Joyce ME, Ogata K, Shively RA (1989) Quantification of the perfusion of the anterior cruciate ligament and the effects of stress and injury to supporting structures. Am J Sports Med 17:808–810

    Google Scholar 

  4. Gillquist J, Hagberg G (1976) A new modification of the technique of arthroscopy of the knee joint. Acta Chir Scand 142:123–130

    Google Scholar 

  5. Gillquist J, Hagberg G, Ocretrop N (1977) Arthroscopy in acute injuries of the knee joint. Acta Orthop Scand 48:190–195

    Google Scholar 

  6. Goertzen M, Dellmann A, Gruber J, Clausen H, Burrig KF (1993) Anterior cruciate ligament allograft transplantation for intraarticular ligamentous reconstruction. Arch Orthop Trauma Surg 111:273–279

    Google Scholar 

  7. Henche HR (1974) Indikation, Technik und Resultate der Arthroskopie nach Traumatisierung des Kniegelenks. Orthopaede 3:178–183

    Google Scholar 

  8. Johnson LL (1986) Arthroscopic surgery. Mosby, St. Louis

    Google Scholar 

  9. Kayler DE, Lyttle D (1988) Surgical interruption of patellar blood supply by total knee arthroplasty. Clin Orthop 229:221–227

    Google Scholar 

  10. Klein W (1983) The medial shelf of the knee. Arch Orthop Trauma Surg 102:67–72

    Google Scholar 

  11. Kwakije L, Boersma W (1975) The venous drainage of the patellar ligament and the intrapatellar fat pad. Acta Morphol Neerl Scand 13:313–314

    Google Scholar 

  12. Lambert KL (1983) Vascularized patellar tendon graft with rigid internal fixation for anterior cruciate ligament insufficiency. Clin Orthop 172:85–89

    Google Scholar 

  13. Milachowski KA, Wirth CJ, Kohn D (1992) Arthroskopische Ergebnisse der Meniskustransplantation und des Meniskusersatzes durch den Hoffa'schen Fettkoerper. Orthop Praxis 9:621–623

    Google Scholar 

  14. Neurath F (1974) Kapsel-Fettlappen-Interpositionsplastik am Kniegelenk. Z Orthop 112:1018–1020

    Google Scholar 

  15. Noyes FR, Bassett RW, Good ES, Butler D (1989) Arthroscopy in acute traumatic hemarthrosis of the knee. J Bone Joint Surg [Am] 62:687–695

    Google Scholar 

  16. O'Connor R (1974) Arthroscopy in the diagnosis and treatment of acute ligament injuries of the knee. J Bone Joint Surg [Am] 56:333–337

    Google Scholar 

  17. Patel D (1978) Arthroscopy of the plicae synovial folds and their significance. Am J Sport Med 6:217–225

    Google Scholar 

  18. Shim SS, Leung G (1986) Blood supply of the knee joint. Clin Orthop 208:119–125

    Google Scholar 

  19. Sisk TD (1987) Arthroscopy of knee and ankle. In: Campbells's operative orthopaedics. Mosby, St. Louis

    Google Scholar 

  20. Smillie IS (1974) Diseases of the knee joint. Churchill Livingstone, Edinburgh

    Google Scholar 

  21. Torklus D von, Nicola T (1985) Atlas orthopaedisch-chirurgischer Operationsschnitte und Zugangswege. Urban und Schwarzenberg, Munich

    Google Scholar 

  22. Weinstabl R, Wagner M, Schabus R, Firlas W (1986) Anatomical bases of patellar tendon grafts used in anterior cruciate ligament reconstruction. Surg Radiol Anat 8:163–167

    Google Scholar 

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Authors and Affiliations

  1. Orthopädische Klinik, Medizinische Hochschule Hannover, Heimchenstrasse 1-7, D-30625, Hannover, Germany

    D. Kohn & M. Rudert

  2. Chirurgische Klinik und Poliklinik, Universität München, München, Germany

    S. Deiler

Authors
  1. D. Kohn
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  2. S. Deiler
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  3. M. Rudert
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Kohn, D., Deiler, S. & Rudert, M. Arterial blood supply of the infrapatellar fat pad. Arch Orthop Trauma Surg 114, 72–75 (1995). https://doi.org/10.1007/BF00422828

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  • DOI: https://doi.org/10.1007/BF00422828

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