Anterolateral Ligament Repair Augmented With Suture Tape in Acute Anterior Cruciate Ligament Reconstruction Edoardo Monaco, M.D., Daniele Mazza, M.D.,

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Anterolateral Ligament Repair Augmented With Suture Tape in Acute Anterior Cruciate Ligament Reconstruction Edoardo Monaco, M.D., Daniele Mazza, M.D., Andrea Redler, M.D., Piergiorgio Drogo, M.D., Megan Rianne Wolf, M.D., Andrea Ferretti, M.D. Arthroscopy Techniques Volume 8, Issue 4, Pages e369-e373 (April 2019) DOI: 10.1016/j.eats.2018.11.014 Copyright © 2019 Arthroscopy Association of North America Terms and Conditions

Fig 1 An incision is performed from the epicondylus to midway between the Gerdy tubercle (GT) and fibular head. (CFE, external femoral condyle.) Arthroscopy Techniques 2019 8, e369-e373DOI: (10.1016/j.eats.2018.11.014) Copyright © 2019 Arthroscopy Association of North America Terms and Conditions

Fig 2 The first 2.4-mm K-wire is placed at the anatomic tibial insertion of the ALL, midway between the Gerdy tubercle and the fibular head. The second 2.4-mm K-wire is inserted at the femoral insertion of the ALL, located just proximal and posterior to the lateral femoral epicondyle. (FI, femoral insertion; TI, tibial insertion.) Arthroscopy Techniques 2019 8, e369-e373DOI: (10.1016/j.eats.2018.11.014) Copyright © 2019 Arthroscopy Association of North America Terms and Conditions

Fig 3 Tension is checked with suture passed over the 2 K-wires. The goal is a graft that is tight in extension and slack in flexion. (ALL, anterolateral ligament.) Arthroscopy Techniques 2019 8, e369-e373DOI: (10.1016/j.eats.2018.11.014) Copyright © 2019 Arthroscopy Association of North America Terms and Conditions

Fig 4 The tibial hole is drilled, measuring 4.5 mm in diameter and 20 mm in depth with regular flute length. The 4.75-mm-diameter SwiveLock anchor is fixed on the tibial side. Arthroscopy Techniques 2019 8, e369-e373DOI: (10.1016/j.eats.2018.11.014) Copyright © 2019 Arthroscopy Association of North America Terms and Conditions

Fig 5 The FiberTape and the FiberWire coming from the anchor are passed under the tibial part of the iliotibial tract (ITT). Arthroscopy Techniques 2019 8, e369-e373DOI: (10.1016/j.eats.2018.11.014) Copyright © 2019 Arthroscopy Association of North America Terms and Conditions

Fig 6 The femoral hole is drilled, measuring 4.5 mm in diameter and 20 mm in depth with regular flute length, avoiding convergence with the femoral anterior cruciate ligament socket. Arthroscopy Techniques 2019 8, e369-e373DOI: (10.1016/j.eats.2018.11.014) Copyright © 2019 Arthroscopy Association of North America Terms and Conditions

Fig 7 The 4.75-mm-diameter SwiveLock anchor is fixed on the femoral side under manual tension of the tape with the knee in full extension. Arthroscopy Techniques 2019 8, e369-e373DOI: (10.1016/j.eats.2018.11.014) Copyright © 2019 Arthroscopy Association of North America Terms and Conditions