Table 1.

Pearls for Kite Technique Labral Reconstruction

Graft preparation:

• Run sutures tight to avoid graft “blowing up” in the joint.

Graft passage:

• Bring 1 strand of each suture (post sutures) out the proximal anterolateral portal, same as arthroscope, to remove these strands from arthroscopic field and prevent suture tangling.

• Using different colored sutures for “end anchors.”

• Before placing sutures into graft ensure that non-post suture strands are not crossed in cannula.

• If added security around the graft is desired for graft passage, the non-post suture should alternatively be passed through and around the graft before being tied to itself.

Graft fixation:

• Use prepassed sutures of differing color in the central part of the graft with subsequent knotless fixation for improved efficiency.

• Either a sliding locking knot or half hitches can be employed successfully with the kite technique sutures.