Yasuo Ohnishi, M. D. , Ph. D. , Cecilia Pascual-Garrido, M. D

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Arthroscopic Technique for Isolated Posterolateral Rotational Instability of the Knee Yasuo Ohnishi, M.D., Ph.D., Cecilia Pascual-Garrido, M.D., Hiroto Kumagae, M.D., Akinori Sakai, M.D, Ph.D., Soshi Uchida, M.D., Ph.D. Arthroscopy Techniques Volume 6, Issue 2, Pages e291-e295 (April 2017) DOI: 10.1016/j.eats.2016.09.033 Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 1 (A) Proton density weighted image. Sagittal view of the right knee. The arrow shows the posterior cruciate ligament. (B) Proton density weighted image. Sagittal view of the right knee. The arrow shows a high-intensity area at the meniscocapsular junction. (C) Proton density weighted image of the right knee. Coronal view of the knee. The arrow shows a high-intensity area at the meniscocapsular junction. Arthroscopy Techniques 2017 6, e291-e295DOI: (10.1016/j.eats.2016.09.033) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 2 Right knee, visualization from the anterolateral portal. (A) Note the drive-through sign in the lateral femoral compartment. (B) The midlateral portal is created under direct visualization. Arthroscopy Techniques 2017 6, e291-e295DOI: (10.1016/j.eats.2016.09.033) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 3 Right knee, visualization from the anteromedial portal. (A) Shaver introduced through the midlateral portal and used to prepare a footprint for the anchor, (B) curved drill guide, and (C) soft anchor deployed. Arthroscopy Techniques 2017 6, e291-e295DOI: (10.1016/j.eats.2016.09.033) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 4 Right knee, visualization from the anteromedial portal. (A) The ACCU-PASS already penetrated the posterolateral capsule and (B) the wire loop released in the joint. Arthroscopy Techniques 2017 6, e291-e295DOI: (10.1016/j.eats.2016.09.033) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 5 Right knee, visualization from the anteromedial portal. (A) Sutures from the first anchor were retrieved from the midlateral portal. The second anchor was drilled and sutures are evident in the joint. (B) Using an ACCU-PASS the sutures from the second anchor were retrieved through the midlateral portal and (C) knot tied in a mattress fashion. Arthroscopy Techniques 2017 6, e291-e295DOI: (10.1016/j.eats.2016.09.033) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions