Posterior Wall Blowout During Anterior Cruciate Ligament Reconstruction: Suspensory Cortical Fixation With a Screw and Washer Post
Posterior wall blowout can be a devastating intraoperative complication in anterior cruciate ligament reconstruction. This loss of osseous containment can cause difficulty with graft fixation and can potentially lead to early graft failure if unrecognized and left untreated. If cortical blowout occu...
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2016-06-01
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doaj-06fa17879599499c881e4422a607468d2021-06-10T04:52:44ZengElsevierArthroscopy Techniques2212-62872016-06-0153e551e555Posterior Wall Blowout During Anterior Cruciate Ligament Reconstruction: Suspensory Cortical Fixation With a Screw and Washer PostJustin J. Mitchell, M.D.0Jorge Chahla, M.D.1Chase S. Dean, M.D.2Travis J. Menge, M.D.3Alexander R. Vap, M.D.4Tyler R. Cram, A.T.C., O.T.C.5Robert F. LaPrade, M.D., Ph.D.6The Steadman Clinic, Vail, Colorado, U.S.A.; Steadman Philippon Research Institute, Vail, Colorado, U.S.A.Steadman Philippon Research Institute, Vail, Colorado, U.S.A.Steadman Philippon Research Institute, Vail, Colorado, U.S.A.The Steadman Clinic, Vail, Colorado, U.S.A.; Steadman Philippon Research Institute, Vail, Colorado, U.S.A.The Steadman Clinic, Vail, Colorado, U.S.A.; Steadman Philippon Research Institute, Vail, Colorado, U.S.A.Steadman Philippon Research Institute, Vail, Colorado, U.S.A.The Steadman Clinic, Vail, Colorado, U.S.A.; Steadman Philippon Research Institute, Vail, Colorado, U.S.A.; Address correspondence to Robert F. LaPrade, M.D., Ph.D., The Steadman Clinic, 181 W Meadow Dr., Ste 400, Vail, CO 81657, U.S.A.Posterior wall blowout can be a devastating intraoperative complication in anterior cruciate ligament reconstruction. This loss of osseous containment can cause difficulty with graft fixation and can potentially lead to early graft failure if unrecognized and left untreated. If cortical blowout occurs despite careful planning and proper surgical technique, a thorough knowledge of the local anatomy and surgical salvage options is paramount to ensure positive patient outcomes. This article highlights our preferred salvage technique using suspensory cortical fixation with a screw and washer construct.http://www.sciencedirect.com/science/article/pii/S2212628716000372 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Justin J. Mitchell, M.D. Jorge Chahla, M.D. Chase S. Dean, M.D. Travis J. Menge, M.D. Alexander R. Vap, M.D. Tyler R. Cram, A.T.C., O.T.C. Robert F. LaPrade, M.D., Ph.D. |
spellingShingle |
Justin J. Mitchell, M.D. Jorge Chahla, M.D. Chase S. Dean, M.D. Travis J. Menge, M.D. Alexander R. Vap, M.D. Tyler R. Cram, A.T.C., O.T.C. Robert F. LaPrade, M.D., Ph.D. Posterior Wall Blowout During Anterior Cruciate Ligament Reconstruction: Suspensory Cortical Fixation With a Screw and Washer Post Arthroscopy Techniques |
author_facet |
Justin J. Mitchell, M.D. Jorge Chahla, M.D. Chase S. Dean, M.D. Travis J. Menge, M.D. Alexander R. Vap, M.D. Tyler R. Cram, A.T.C., O.T.C. Robert F. LaPrade, M.D., Ph.D. |
author_sort |
Justin J. Mitchell, M.D. |
title |
Posterior Wall Blowout During Anterior Cruciate Ligament Reconstruction: Suspensory Cortical Fixation With a Screw and Washer Post |
title_short |
Posterior Wall Blowout During Anterior Cruciate Ligament Reconstruction: Suspensory Cortical Fixation With a Screw and Washer Post |
title_full |
Posterior Wall Blowout During Anterior Cruciate Ligament Reconstruction: Suspensory Cortical Fixation With a Screw and Washer Post |
title_fullStr |
Posterior Wall Blowout During Anterior Cruciate Ligament Reconstruction: Suspensory Cortical Fixation With a Screw and Washer Post |
title_full_unstemmed |
Posterior Wall Blowout During Anterior Cruciate Ligament Reconstruction: Suspensory Cortical Fixation With a Screw and Washer Post |
title_sort |
posterior wall blowout during anterior cruciate ligament reconstruction: suspensory cortical fixation with a screw and washer post |
publisher |
Elsevier |
series |
Arthroscopy Techniques |
issn |
2212-6287 |
publishDate |
2016-06-01 |
description |
Posterior wall blowout can be a devastating intraoperative complication in anterior cruciate ligament reconstruction. This loss of osseous containment can cause difficulty with graft fixation and can potentially lead to early graft failure if unrecognized and left untreated. If cortical blowout occurs despite careful planning and proper surgical technique, a thorough knowledge of the local anatomy and surgical salvage options is paramount to ensure positive patient outcomes. This article highlights our preferred salvage technique using suspensory cortical fixation with a screw and washer construct. |
url |
http://www.sciencedirect.com/science/article/pii/S2212628716000372 |
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