✅ Knee MRI Mastery/Chap 2.ACL and PCL

(Fig 2-D.17) Femoral Tunnel Posterior Wall Fracture

MSK MRI 2024. 3. 9. 22:25

https://youtu.be/1C6kvr57L-g

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📌 Femoral Tunnel Posterior Wall Fracture 

1️⃣ Impact of Tunnel Malposition

  • Anterior malposition: Rotational laxity or graft impingement
  • Posterior placement: Breach of posterior femoral cortex, lack of fixation

 

2️⃣ Consequences of Posterior Wall Violation

  • Known as posterior wall blowout, Occurs distally at the tunnel's aperture Near the medial aspect of the lateral femoral condyle
  • Devastating intraoperative complication in ACL reconstruction
  • Leads to loss of graft fixation or early graft failure

Orthop J Sports Med. 2016 Jun 9;4(6):2325967116652122

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