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...

Full description

Bibliographic Details
Main Authors: 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.
Format: Article
Language:English
Published: Elsevier 2016-06-01
Series:Arthroscopy Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2212628716000372
id doaj-06fa17879599499c881e4422a607468d
record_format Article
spelling 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
work_keys_str_mv AT justinjmitchellmd posteriorwallblowoutduringanteriorcruciateligamentreconstructionsuspensorycorticalfixationwithascrewandwasherpost
AT jorgechahlamd posteriorwallblowoutduringanteriorcruciateligamentreconstructionsuspensorycorticalfixationwithascrewandwasherpost
AT chasesdeanmd posteriorwallblowoutduringanteriorcruciateligamentreconstructionsuspensorycorticalfixationwithascrewandwasherpost
AT travisjmengemd posteriorwallblowoutduringanteriorcruciateligamentreconstructionsuspensorycorticalfixationwithascrewandwasherpost
AT alexanderrvapmd posteriorwallblowoutduringanteriorcruciateligamentreconstructionsuspensorycorticalfixationwithascrewandwasherpost
AT tylerrcramatcotc posteriorwallblowoutduringanteriorcruciateligamentreconstructionsuspensorycorticalfixationwithascrewandwasherpost
AT robertflaprademdphd posteriorwallblowoutduringanteriorcruciateligamentreconstructionsuspensorycorticalfixationwithascrewandwasherpost
_version_ 1721385984591921152