Anterolateral Extra-articular Soft Tissue Reconstruction in Anterolateral Rotatory Instability of the Knee  Willem A. Kernkamp, M.D., Samuel K. van de Velde, M.D., M.P.H., Eric W.P. Bakker, Ph.D., Ewoud R.A. van Arkel, M.D., Ph.D.  Arthroscopy Techniques  Volume 4, Issue 6, Pages e863-e867 (December 2015) DOI: 10.1016/j.eats.2015.08.015 Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 1 The lateral side of the right knee is shown with the patient in the supine position. (A) The anatomic landmarks of the proximal fibular head and Gerdy tubercle are indicated by the crescent and cross, respectively. The line with perpendicular dashes indicates the incision site. (B) The iliotibial tract is identified after dissection of the skin and subcutaneous tissue; the middle-third part of the iliotibial tract will be used to dissect a 5-mm × 12-mm graft. (C) The upper forceps (asterisk) show the proximal fixation point for the anterolateral soft-tissue reconstruction. The lower forceps (triangles) show the course of the lateral collateral ligament. Arthroscopy Techniques 2015 4, e863-e867DOI: (10.1016/j.eats.2015.08.015) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 2 Perioperative images of the right knee with the patient in the supine position. The iliotibial tract (ITT) autograft (5 mm × 12 mm) has been prepared with nonabsorbable sutures at both ends. The proximal fixation point is slightly anterior to the lateral collateral ligament and proximal and posterior to the popliteus tendon. (A) For the proximal fixation point, a 4.75-mm × 24.5-mm suture anchor (PEEK Self Punching Vented SwiveLock) is used. (B) Thereafter the graft is tunneled deep to the ITT. (C) The distal fixation point is located approximately 5 to 10 mm below the tibial joint line and midway between the fibular head and the Gerdy tubercle. (D) The distal fixation point is predrilled with a 7-mm drill before the graft will be tightly fixated with a 7-mm × 19.5-mm BioComposite suture anchor for SwiveLock Tenodesis. The ITT autograft is fixated with the knee in 90° of flexion and slight exorotation. Arthroscopy Techniques 2015 4, e863-e867DOI: (10.1016/j.eats.2015.08.015) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 3 Postoperative anteroposterior (A) and lateral (B) radiographs of the right knee showing the proximal self-punching anchor (lines with circles) and the distal fixation (lines with diamonds). Arthroscopy Techniques 2015 4, e863-e867DOI: (10.1016/j.eats.2015.08.015) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions