Posterior Wall Blowout During Anterior Cruciate Ligament Reconstruction: Suspensory Cortical Fixation With a Screw and Washer Post Justin J. Mitchell,

Slides:

Advertisements

Similar presentations

Remnant-Preserving Posterior Cruciate Ligament Reconstruction: Arthroscopic Transseptal, Rod and Pulley Technique Bancha Chernchujit, M.D., Supawat Samart,

Advertisements

An Alternative Technique to Avoid Injury to the Medial Femoral Condyle When Reaming the Femoral Tunnel During Anterior Cruciate Ligament Reconstruction

All-Anterior Approach for Arthroscopic Posterior Cruciate Ligament Reconstruction With Remnant Preservation Tianwu Chen, M.D., Shaohua Liu, M.D., Jiwu.

Free Bone Plug Quadriceps Tendon Harvest and Suspensory Button Attachment for Anterior Cruciate Ligament Reconstruction Adrian Todor, M.D., Ph.D., Sergiu.

Gregory A. Sawyer, M. D. , Tyler Cram, M. A. , A. T. C. , O. T. C

Bertrand Sonnery-Cottet, M. D. , Matt Daggett, D. O. , M. B. A

Combined Reconstruction of the Medial Collateral Ligament and Anterior Cruciate Ligament Using Ipsilateral Quadriceps Tendon–Bone and Bone–Patellar Tendon–Bone.

Anterolateral Extra-articular Soft Tissue Reconstruction in Anterolateral Rotatory Instability of the Knee Willem A. Kernkamp, M.D., Samuel K. van de.

Associated Anterior Cruciate Ligament and Fibular Collateral Ligament Reconstruction With Single Femoral Tunnel and Asymmetric Hamstring Tendon Graft

Minimally Invasive Combined Anterior and Anterolateral Stabilization of the Knee Using Hamstring Tendons and Adjustable-Loop Suspensory Fixation Device:

Arthroscopic Delivery of Injectable Bone Graft for Staged Revision Anterior Cruciate Ligament Reconstruction Kent T. Yamaguchi, M.D., Gina M. Mosich,

Protection of the Medial Femoral Condyle Articular Cartilage During Drilling of the Femoral Tunnel Through the Accessory Medial Portal in Anatomic Anterior.

Multiligament Reconstruction of the Knee in the Setting of Knee Dislocation With a Medial-Sided Injury Marcio B. Ferrari, M.D., Jorge Chahla, M.D., Justin.

Associated Reconstruction of Anterior Cruciate and Anterolateral Ligaments With Single Asymmetric Hamstring Tendons Graft Alejandro Espejo-Baena, M.D.,

Patellofemoral Joint Reconstruction for Patellar Instability: Medial Patellofemoral Ligament Reconstruction, Trochleoplasty, and Tibial Tubercle Osteotomy

Anatomic Posterolateral Corner Reconstruction

Suspensory Anterior Tibial Fixation in the Anatomic Transtibial Posterior Cruciate Ligament Reconstruction Ashraf Elazab, M.D., M.Sc., Yong Seuk Lee,

Christian Lutz, M. D. , Bertrand Sonnery-Cottet, M. D

Both Posterior Root Lateral-Medial Meniscus Tears With Anterior Cruciate Ligament Rupture: The Step-by-Step Systematic Arthroscopic Repair Technique

A Technique of Improved Medial Meniscus Visualization by Anterior Cruciate Ligament Graft Placement in Chronic Anterior Cruciate Deficient Knees Christopher.

Graft Retensioning Technique Using an Adjustable-Loop Fixation Device in Arthroscopic Anterior Cruciate Ligament Reconstruction Joseph T. Gamboa, M.D.,

Anatomic Double-Bundle Posterior Cruciate Ligament Reconstruction

Posterior Cruciate Ligament Reconstruction With Hamstring Tendons Using a Suspensory Device for Tibial Fixation and Interference Screw for Femoral Fixation

Inside-Out Meniscal Repair: Medial and Lateral Approach

Anatomical Arthroscopic Graft Reconstruction of the Anterior Tibiofibular Ligament for Chronic Disruption of the Distal Syndesmosis Jesús Vilá-Rico,

Ahmad M. Wagih, M.D., M.R.C.S., F.E.O.B., Ahmed M.F. Elguindy, M.D.

Assem Mohamed Noureldin Zein, M. D. , Mohamed Elshafie, M. D

Tibial Allograft Transfer for Medial Tibial Plateau Resurfacing

Fatigue Behavior of Nitinol Anterior Cruciate Ligament Graft and Inappropriate Femoral Tunnel Placement: Single-Stage Revision Anterior Cruciate Ligament.

Combined Anatomic Reconstruction of the Anterior Cruciate and Anterolateral Ligaments Using Hamstring Graft Through a Single Femoral Tunnel and With a.

Justin J. Mitchell, M. D. , Jorge Chahla, M. D. , Alexander R. Vap, M

Combined Double Bundle Anterior Cruciate Ligament Reconstruction and Anterolateral Ligament Reconstruction Iñaki Mediavilla, M.D., Ph.D., Mikel Aramberri,

Anatomic Fibular Collateral Ligament Reconstruction

Basic Knee Arthroscopy Part 3: Diagnostic Arthroscopy

Anatomic Reconstruction of the Proximal Tibiofibular Joint

Direct Visualization of Existing Footprint and Outside-In Drilling of the Femoral Tunnel in Anterior Cruciate Ligament Reconstruction in the Knee E.

Anatomic Posterolateral Corner Reconstruction Using Single Graft Plus Adjustable-Loop Suspensory Fixation Device Ryan Wood, B.M.B.Ch., M.A., F.R.C.S.

Davide Edoardo Bonasia, M. D. , Federico Dettoni, M. D

Anatomic Outside-In Anterior Cruciate Ligament Reconstruction Using a Suspension Device for Femoral Fixation Alejandro Espejo-Baena, M.D., Alejandro.

Combined Anterior Cruciate Ligament and Posterolateral Corner Reconstruction by Hamstring Tendon Autografts Through a Single Femoral Tunnel by Graft-to-Graft.

Jefferson Brand, M. D. , Richard Hardy, Ed. D. , A. T. C

Proximal Tibiofibular Reconstruction in Adolescent Patients

Physeal-Sparing Technique for Femoral Tunnel Drilling in Pediatric Anterior Cruciate Ligament Reconstruction Using a Posteromedial Portal Stephen E.

Lateral Meniscal Allograft Transplantation: The Bone Trough Technique

Arthroscopic Posterior Cruciate Ligament Reconstruction With Remnant Preservation Using a Posterior Trans-septal Portal Dhong Won Lee, M.D., Hyeuk Woo.

The Tibial Tug Test: An Intraoperative Test to Assess Tibial Fixation During Anterior Cruciate Ligament Reconstruction Nicholas Elena, M.D., Brittany.

Niti Prasathaporn, M. D. , Vantawat Umprai, M. D

Intra-articular Anterior Cruciate Ligament Reconstruction With Extra-articular Lateral Tenodesis of the Iliotibial Band João Luiz Ellera Gomes, M.D.,

Jorge Chahla, M. D. , Samuel G. Moulton, B. A. , Christopher M

Varus-Producing Lateral Distal Femoral Opening-Wedge Osteotomy

Associated Reconstruction of Anterior Cruciate and Anterolateral Ligaments With Single Asymmetric Hamstring Tendons Graft Alejandro Espejo-Baena, M.D.,

Anatomic Double-Bundle Anterior Cruciate Ligament Reconstruction with Hamstring Tendon Autograft through Single Femoral Tunnel and Single Branched Tibial.

Concomitant Arthroscopic Meniscal Allograft Transplantation and Anterior Cruciate Ligament Reconstruction Bryan M. Saltzman, M.D., Justin W. Griffin,

Combined Reconstruction of the Anterior Cruciate Ligament and Posterolateral Corner With a Single Femoral Tunnel Fabio J. Angelini, M.Sc., Camilo Partezani.

Two-Stage Revision Anterior Cruciate Ligament Reconstruction: Bone Grafting Technique Using an Allograft Bone Matrix Jorge Chahla, M.D., Chase S. Dean,

Anterolateral Ligament Reconstruction Technique: An Anatomic-Based Approach Jorge Chahla, M.D., Travis J. Menge, M.D., Justin J. Mitchell, M.D., Chase.

Lateral Meniscus Allograft Transplantation: The Bone Plug Technique

Anterior Cruciate Ligament Femoral Socket Drilling With a Retrograde Reamer: Lessons From the Learning Curve Victor Ferraz, M.S., Paul Westerberg, M.A.,

Remnant-Preserving Posterior Cruciate Ligament Reconstruction: Arthroscopic Transseptal, Rod and Pulley Technique Bancha Chernchujit, M.D., Supawat Samart,

Arthroscopic Technique to Reduce Suture Button Migration During Anterior Cruciate Ligament Reconstruction Procedure Yasuo Ohnishi, M.D., Ph.D., Angela.

Krzysztof Hermanowicz, M. D. , Ph. D. , Konrad Malinowski, M. D. , Ph

Justin J. Mitchell, M. D. , Jorge Chahla, M. D. , Alexander R. Vap, M

Combined Intra- and Extra-articular Reconstruction of the Anterior Cruciate Ligament: The Reconstruction of the Knee Anterolateral Ligament Camilo Partezani.

Tibial Allograft Transfer for Medial Tibial Plateau Resurfacing

The Fertilized Anterior Cruciate Ligament: An All-Inside Anterior Cruciate Ligament Reconstruction Augmented With Amnion, Bone Marrow Concentrate, and.

Savan D. Patel, M. D. , Peter J. Boxley, B. A. , Richard W. Kang, M. S

Combined Reconstruction of the Medial Collateral Ligament and Anterior Cruciate Ligament Using Ipsilateral Quadriceps Tendon–Bone and Bone–Patellar Tendon–Bone.

A Technique of Improved Medial Meniscus Visualization by Anterior Cruciate Ligament Graft Placement in Chronic Anterior Cruciate Deficient Knees Christopher.

Arthroscopy Techniques

Medial Meniscal Allograft Transplantation: The Bone Plug Technique

Presentation transcript:

Posterior Wall Blowout During Anterior Cruciate Ligament Reconstruction: Suspensory Cortical Fixation With a Screw and Washer Post 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. Arthroscopy Techniques Volume 5, Issue 3, Pages e551-e555 (June 2016) DOI: 10.1016/j.eats.2016.02.003 Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 1 Violation of the posterior femoral cortex after screw insertion into the femoral tunnel as visualized through the anteromedial arthroscopic portal in a right knee. A representation of posterior wall blowout during anterior cruciate ligament reconstruction is shown in the upper left corner. Arthroscopy Techniques 2016 5, e551-e555DOI: (10.1016/j.eats.2016.02.003) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 2 Anatomic landmarks for the skin incision after a posterior wall violation during anterior cruciate ligament reconstruction in a right knee. A longitudinal incision is performed over the lateral supracondylar ridge. (F, fibula; P, popliteus sulcus.) Arthroscopy Techniques 2016 5, e551-e555DOI: (10.1016/j.eats.2016.02.003) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 3 A longitudinal incision of the iliotibial band (ITB) over the lateral supracondylar ridge in a right knee. (F, fibula; G, Gerdy tubercle.) Arthroscopy Techniques 2016 5, e551-e555DOI: (10.1016/j.eats.2016.02.003) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 4 Previously placed tunnel with the sutures exiting the tunnel in a right knee. The lateral intermuscular septum constitutes an important landmark for placement of the screw and washer. Arthroscopy Techniques 2016 5, e551-e555DOI: (10.1016/j.eats.2016.02.003) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 5 Cortical fixation with the screw and washer and the graft sutures tied beneath the washer in a right knee. (F, fibula; G, Gerdy tubercle; P, popliteus sulcus.) Arthroscopy Techniques 2016 5, e551-e555DOI: (10.1016/j.eats.2016.02.003) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 6 Standard tibial fixation for anterior cruciate ligament reconstruction after the femoral salvage procedure for posterior wall blowout in a right knee. Arthroscopy Techniques 2016 5, e551-e555DOI: (10.1016/j.eats.2016.02.003) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 7 Arthroscopic view of a right knee showing a bone-tendon-bone graft within the femoral tunnel after suspensory cortical fixation after posterior wall blowout. The graft sutures can be seen attached to the femoral bone plug of the anterior cruciate ligament graft and traveling through the remaining femoral tunnel. Arthroscopy Techniques 2016 5, e551-e555DOI: (10.1016/j.eats.2016.02.003) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions