Fig. 3.

Intraoperative situs showing Arciero’s open technique for a 23-year-old patient who presented 7 weeks after a bike accident with a torn PCL and femoral avulsion of PLT, resulting in posterolateral rotational instability (Fanelli B). (A) The fibula head (FH) was shuttled with a suture. The peroneal nerve (PN) was exposed and marked with a vessel loop. (B) Two guidewires are introduced into the femoral native origins of the popliteus tendon (PLT) and lateral collateral ligament (LCL). (C) An autologous gracilis tendon graft is shuttled into the fibula head drilling canal and fixated with an interference screw. (D) The graft after fixation in the LCL and PLT tunnel