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.