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前交叉韧带重建中后壁爆裂：解剖学和手术考虑的回顾。

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

机构信息

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

Steadman Philippon Research Institute, Vail, Colorado, USA.

出版信息

Orthop J Sports Med. 2016 Jun 9;4(6):2325967116652122. doi: 10.1177/2325967116652122. eCollection 2016 Jun.

DOI:10.1177/2325967116652122
PMID:27335885
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4904427/
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.

摘要

违反股骨后皮质，通常称为后壁爆裂，在前交叉韧带 (ACL) 重建中可能是一种毁灭性的术中并发症，并导致移植物固定丢失或早期移植物失效。如果尽管仔细计划并遵守适当的手术技术，但仍发生皮质爆裂，则必须深入了解解剖结构和替代固定技术，以确保患者获得最佳结果。本文重点介绍 ACL 重建中股骨隧道放置的解剖学考虑因素以及避免和抢救后壁爆裂的技术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d7c5/4904427/2303c06b643c/10.1177_2325967116652122-fig8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d7c5/4904427/c47d796d9f5b/10.1177_2325967116652122-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d7c5/4904427/bdd3862db7da/10.1177_2325967116652122-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d7c5/4904427/994c90e1f139/10.1177_2325967116652122-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d7c5/4904427/5f5b5b71a0ba/10.1177_2325967116652122-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d7c5/4904427/edcc2fa49c49/10.1177_2325967116652122-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d7c5/4904427/8e2eceb61994/10.1177_2325967116652122-fig6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d7c5/4904427/ebcd52bdaee1/10.1177_2325967116652122-fig7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d7c5/4904427/2303c06b643c/10.1177_2325967116652122-fig8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d7c5/4904427/c47d796d9f5b/10.1177_2325967116652122-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d7c5/4904427/bdd3862db7da/10.1177_2325967116652122-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d7c5/4904427/994c90e1f139/10.1177_2325967116652122-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d7c5/4904427/5f5b5b71a0ba/10.1177_2325967116652122-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d7c5/4904427/edcc2fa49c49/10.1177_2325967116652122-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d7c5/4904427/8e2eceb61994/10.1177_2325967116652122-fig6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d7c5/4904427/ebcd52bdaee1/10.1177_2325967116652122-fig7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d7c5/4904427/2303c06b643c/10.1177_2325967116652122-fig8.jpg

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