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Use a spinal needle during the creation of the working portal to obtain the correct angle.
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With a shaver, remove hemarthrosis, clots, and osteochondral fragments as necessary to obtain an optimal view of the fracture site.
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Temporarily check the correct reduction of the avulsed fragment with a probe, extending the knee, and fix it with a provisional fixation pin.
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Pass the suture first in the posterior part of the ACL fibers with a curved suture passer, using the enlarged lateral portal to regain the carrying wire.
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Remove the fixation pin and tie the suture; if the implant is not stable enough, repeat the previous step, passing the suture in the posterior fibers of the ACL.
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