Temponi Eduardo Frois, Oliveira João Newton Penido, Soares Luiz Fernando Machado, de Carvalho Júnior Lúcio Honório
Hospital Madre Teresa, Belo Horizonte, Minas Gerais, Brazil.
Departamento do Aparelho Locomotor, Faculdade de Medicina, Universidade Federal de Minas Gerais, Departamento de Medicina, Pontifícia Universidade Católica, Belo Horizonte, Minas Gerais, Brazil.
Arthrosc Tech. 2017 Jul 31;6(4):e1177-e1181. doi: 10.1016/j.eats.2017.04.003. eCollection 2017 Aug.
Despite technologic advances in the surgical techniques for anterior cruciate ligament (ACL) reconstruction, some patients continue to have violation of the femoral cortex, commonly referred to as wall blowout. These posterior or lateral cortical breaches lead to loss of graft containment and subsequent difficulty with graft fixation. If this intraoperative error is not promptly recognized and treated, the graft is at an increased risk of premature failure. Thus, in these situations, recognizing the complication and knowing strategies for alternative or salvage fixation are of importance. This article details a simple tunnel view test realized during ACL reconstruction that would enable determining the integrity and depth of the femoral tunnel. The femoral tunnel view test is a technically straightforward and quick test able to obtain a superior view of patient anatomy to facilitate accurate tunnel integrity evaluation during ACL reconstruction.
尽管前交叉韧带（ACL）重建手术技术取得了技术进步，但仍有一些患者存在股骨皮质破损的情况，通常称为骨壁爆裂。这些后方或外侧皮质破裂会导致移植物固定不良，进而影响移植物固定。如果术中未及时识别并处理此错误，移植物过早失败的风险会增加。因此，在这些情况下，识别并发症并了解替代或挽救固定策略非常重要。本文详细介绍了一种在ACL重建过程中进行的简单隧道视图测试，该测试能够确定股骨隧道的完整性和深度。股骨隧道视图测试是一种技术上简单且快速的测试，能够获得患者解剖结构的优质视图，以便在ACL重建过程中准确评估隧道完整性。
