Distal Triceps Knotless Anatomic Footprint Repair: A New Technique James M. Paci, M.D., Jonathan Clark, M.D., Angelo Rizzi, P.A.C.  Arthroscopy Techniques  Volume 3, Issue 5, Pages e621-e626 (October 2014) DOI: 10.1016/j.eats.2014.06.019 Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

Fig 1 Transosseous cruciate repair. One should note the uncovered portion of the triceps anatomic footprint. Arthroscopy Techniques 2014 3, e621-e626DOI: (10.1016/j.eats.2014.06.019) Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

Fig 2 Tendon preparation for knotless anatomic footprint repair. (A) Krackow sutures are placed along the medial and lateral borders of the tendon, exiting just proximal to the footprint anterior to the tendon. (B) FiberLink sutures are passed medially and laterally proximal to the footprint. One should note that the loop ends are kept posterior to the triceps. Arthroscopy Techniques 2014 3, e621-e626DOI: (10.1016/j.eats.2014.06.019) Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

Fig 3 (A, B) Olecranon preparation for knotless anatomic footprint repair; parallel 2-mm tunnels are drilled in the olecranon. (C) A pilot hole for the 4.75-mm Biocomposite SwiveLock anchor is drilled between the distal bone tunnel exits. Arthroscopy Techniques 2014 3, e621-e626DOI: (10.1016/j.eats.2014.06.019) Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

Fig 4 Suture passage for knotless anatomic footprint repair. (A) Two tails of the lateral Krackow suture and the lateral FiberLink tail are passed through the lateral tunnel, and 2 medial suture tails and the FiberLink tail are passed through the medial tunnel. (B) The lateral FiberLink is used to shuttle 1 medial and 1 lateral suture down the lateral tunnel in a proximal-to-distal manner, with the process repeated to shuttle 1 medial and 1 lateral suture through the medial tunnel, to create (C) a box-and-x configuration of suture over the tendon footprint to evenly compress tendon to bone. Arthroscopy Techniques 2014 3, e621-e626DOI: (10.1016/j.eats.2014.06.019) Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

Fig 5 Final fixation for knotless anatomic footprint repair. (A) All 4 suture strands are loaded into the SwiveLock anchor and tensioned individually. (B) The anchor is inserted into the pilot hole. (C) Final construct. Arthroscopy Techniques 2014 3, e621-e626DOI: (10.1016/j.eats.2014.06.019) Copyright © 2014 Arthroscopy Association of North America Terms and Conditions