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Mitchell JJ, Dean CS, Chahla J, et al. Posterior Wall Blowout in Anterior Cruciate Ligament Reconstruction: A Review of Anatomic and Surgical Considerations. Orthop J Sports Med. 2016;4(6):2325967116652122doi: 10.1177/2325967116652122.
Mitchell, J. J., Dean, C. S., Chahla, J., Menge, T. J., Cram, T. R., & LaPrade, R. F. (2016). Posterior Wall Blowout in Anterior Cruciate Ligament Reconstruction: A Review of Anatomic and Surgical Considerations. Orthopaedic journal of sports medicine, 4(6), 2325967116652122. https://doi.org/10.1177/2325967116652122
Mitchell, Justin J, et al. "Posterior Wall Blowout in Anterior Cruciate Ligament Reconstruction: A Review of Anatomic and Surgical Considerations." Orthopaedic journal of sports medicine vol. 4,6 (2016): 2325967116652122. doi: https://doi.org/10.1177/2325967116652122
Mitchell JJ, Dean CS, Chahla J, Menge TJ, Cram TR, LaPrade RF. Posterior Wall Blowout in Anterior Cruciate Ligament Reconstruction: A Review of Anatomic and Surgical Considerations. Orthop J Sports Med. 2016 Jun 09;4(6):2325967116652122. doi: 10.1177/2325967116652122. eCollection 2016 Jun. PMID: 27335885; PMCID: PMC4904427.
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Orthop J Sports Med. 2016 Jun 09;4(6):2325967116652122. doi: 10.1177/2325967116652122. eCollection 2016 Jun.

Posterior Wall Blowout in Anterior Cruciate Ligament Reconstruction: A Review of Anatomic and Surgical Considerations.

Orthopaedic journal of sports medicine

Justin J Mitchell, Chase S Dean, Jorge Chahla, Travis J Menge, Tyler R Cram, Robert F LaPrade

Affiliations

  1. The Steadman Clinic, Vail, Colorado, USA.; Steadman Philippon Research Institute, Vail, Colorado, USA.
  2. Steadman Philippon Research Institute, Vail, Colorado, USA.
  3. The Steadman Clinic, Vail, Colorado, USA.

PMID: 27335885 PMCID: PMC4904427 DOI: 10.1177/2325967116652122

Abstract

Violation of the posterior femoral cortex, commonly referred to as posterior wall blowout, can be a devastating intraoperative complication in anterior cruciate ligament (ACL) reconstruction and lead to loss of graft fixation or early graft failure. If cortical blowout occurs despite careful planning and adherence to proper surgical technique, a thorough knowledge of the anatomy and alternative fixation techniques is imperative to ensure optimal patient outcomes. This article highlights anatomic considerations for femoral tunnel placement in ACL reconstruction and techniques for avoidance and salvage of a posterior wall blowout.

Keywords: ACL; ACL reconstruction; complications; ligament; tunnel placement

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