Table 1.
Pearls | Pitfalls |
---|---|
An incision of about 10 cm in length is made 1 cm above the ITB posterior edge | Difficult to dissect ITB and close ITB defect |
The 10-cm × 1-cm ITB strip should be carefully released until its tibial insertion | Cutting strip from distal |
The distal part of the vastus lateralis is defined bluntly and to identify the superior lateral genicular and reaming the entire path is with a 4.5 reamer | Superior lateral genicular artery injury creates bleeding and hematoma |
The strip length that passes from the eyelet-tipped Kirschner wire to the proximal side is determined by placing the prepared strip in tension near the femur bone. This amount is the part that will be placed inside the bone tunnel | Miscalculating graft length incorporated in the femoral bone could be too short or too long |
The ITB strip should be fixed to the femur with the knee at 90 degrees of flexion and neutral rotation | Joint over constrained, lateral patellar tilt |
ITB, iliotibial band.