Table 1.

Pearls and Pitfalls of Anterior Cruciate Ligament Repair Using Re-tensionable All-Suture Construct

Pearls	Pitfalls
The FiberRing shuttle suture should be retrieved from the lateral portal prior to passing subsequent FiberRings.	Suture bridges can easily occur without the use of a cannula in the medial portal.
The majority of the tensioned suture of the TightRope construct should be passed through the loop portion before passing through the nitinol loop to keep the TightRope balanced.	The TightRope sutures can become unbalanced.
The sutures should be passed through the midsubstance fibers to allow for better purchase. Additional FiberRing sutures may be added (up to 3).	Poor purchase in the ACL stump can occur with FiberRing sutures.

ACL, anterior cruciate ligament.