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Arthroscopic view of a left knee using a 30° arthroscope (Olympus Inc) through the anterolateral portal. With the knee at 110° of flexion, a 7-mm over-the-top femoral offset guide (Arthrex) is inserted through an anteromedial portal, and a 2.4-mm guidewire (Arthrex) through this offset guide is inserted to an anatomic femoral ACL footprint location. Using a 9.5-mm diameter low-profile reamer (Arthrex), an 18-mm-length femoral socket for the bone plug of the quadriceps graft is created.
