2021 Annual Meeting Knee Access Pass-I Blew Out the Back Wall

Video Transcription

Video Summary

The speaker shares insights from 40 years of experience in knee extra-articular reconstructions, highlighting the evolution from Macintosh techniques to femoral drill holes and independent femoral drilling methods. He discusses challenges like posterior cortical blowouts during tunnel drilling, noting modern techniques around hyper-flexion drilling and fixation methods that preserve stability. Limited data suggest partial posterior wall blowouts with intact lateral cortex do not affect outcomes. Key advice includes careful graft tensioning in full knee extension to avoid over-constraint. Modern fixation options can manage complications, maintaining stable knees long-term, illustrated by cases like Rob Hunter’s durable reconstruction.

Asset Caption

Dr. John Richmond

Keywords

knee extra-articular reconstruction

femoral drilling techniques

posterior cortical blowouts

graft tensioning

modern fixation methods