Fig. 25.

( A and B ) The knot pusher is introduced from the RCM portal. It is advanced inside the VC portal and loaded with the two threads of the first anchor. The threads are retrieved to the RCM portal. ( C and D ) With a grasper the radial portion of the arcuate ligament is capture and pierced with the Abbocath. ( E and F ) The loop is captured and taken to the RCM portal, where it is loaded with the first thread. ( G and H ) The loop and thread are recovered to the VC portal, capturing the ulnar portion of the detached ligaments. The first limb of the “U” suture is completed.