Radial suture at graft center |
Radial sutures should be evenly spaced with a distance of 1 to 1.5 cm between each suture. This is necessary to strengthen the weakness against shearing force at the center of the graft. |
Graft entrance |
Because the arthroscopic view is narrow, 1 anchor should be drilled first, and a suture from the anchor should be passed through the graft free end by use of a straight needle. The graft can then be placed in the hip joint with a knot pusher through the accessory anterior medial portal. |
Control knot |
Because of the arthroscopic water pressure, the control knot moves around in the joint and may flip. To achieve better manipulation, the other anchor should be drilled at the expected end, and by use of a grasper or a bird beak, a suture from the anchor can be passed through the control knot. If this is impossible, the suture can be passed through the graft end, and by doing so, the graft can be attached to the acetabular bone bed. |