Seating of TightRope RT Button Under Direct Arthroscopic Visualization in Anterior Cruciate Ligament Reconstruction to Prevent Potential Complications  Hira L. Nag, M.S.(Orth), Himanshu Gupta, M.S.(Orth)  Arthroscopy Techniques  Volume 1, Issue 1, Pages e83-e85 (September 2012) DOI: 10.1016/j.eats.2012.03.003 Copyright © 2012 Arthroscopy Association of North America Terms and Conditions

Figure 1 Arthroscopic view of lateral wall of femoral intercondylar notch of right knee, showing femoral socket end-on. The patient is lying supine with the knee and hip flexed, and the arthroscope has been inserted through the anterolateral portal. The guide pin hole is seen in the center of the socket. The depth of the socket is 25 mm, and the length of the pin hole through the cortical bone bridge is 10 mm. The TightRope RT button is seen entering the pin hole. The loop of the TightRope RT is lying in the femoral socket. Because the loop is long, the graft has not yet entered into the joint. Arthroscopy Techniques 2012 1, e83-e85DOI: (10.1016/j.eats.2012.03.003) Copyright © 2012 Arthroscopy Association of North America Terms and Conditions

Figure 2 A guide pin is introduced through the anteromedial portal parallel to the socket and pin hole. Its tip is engaged in the depression located on the side of the free end of the button (the side facing the arthroscope in the socket). A controlled push is then applied on the button with the help of this pin, as viewed from the anterolateral portal for a right knee joint. Arthroscopy Techniques 2012 1, e83-e85DOI: (10.1016/j.eats.2012.03.003) Copyright © 2012 Arthroscopy Association of North America Terms and Conditions