Table 2.

Pearls and Pitfalls for All-Inside Anterior Cruciate Ligament Reconstruction With Quadriceps Tendon Autograft

	Pearls and Pitfalls
Graft harvest	Ensure that dissection goes deep enough into the second layer of the quadriceps tendon to avoid harvesting a graft that is too thin.
Include fibers dissected sharply off the proximal one-third of the patella to gain length and minimize the need for a more proximal harvest.
Graft preparation	On the femoral side, ensure that the graft is tapered appropriately to slide easily through a graft measurer.
On the tibial side, start the FiberLoop whipstitch proximal enough on the graft and loop it around the ABS TightRope 1 time to ensure high pullout strength.
On the tibial side, after tying of the FiberLoop limbs, leave 1 or 2 tails uncut (using color stitches or marked sutures for easy identification) to ensure easy graft passage later.
Graft passage	View button passage from the anteromedial portal to ensure that the button is flipped outside the femoral tunnel but deep to the IT band.
When passing tibial sutures, ensure that the ABS TightRope is passed with the finger-trap portion going through the knee first. The extra passing suture can be tied or cinched around the ABS TightRope to assist with this.
To sink the tibial side of the graft into the tibial socket, pull the FiberLoop suture first; then tension the ABS TightRope.

IT, iliotibial.