. 2016 Apr 11;5(2):e347–e352. doi: 10.1016/j.eats.2016.01.011

Table 1.

Pearls and Pitfalls

Pearls	Pitfalls
• Anteromedial incision in cases of combined medial and cruciate ligaments injury makes it easier to drill the tunnels. • Distal suture anchors should be placed as far posterior as possible on the posteromedial corner of the tibia. • Identifying the adductor tubercle tendon helps locate bony prominences in the medial aspect of femoral condyle. • Femoral fixation should be performed at 20° while applying a gentle varus force.	• Making the incision too posterior can put the saphenous nerve at risk. • Not applying varus stress when securing the graft to the femur can result in residual uncorrected laxity. • Failure to initiate a prompt rehabilitation program after surgery increases the risk of arthrofibrosis.

Pearls

Pitfalls

• Anteromedial incision in cases of combined medial and cruciate ligaments injury makes it easier to drill the tunnels.
• Distal suture anchors should be placed as far posterior as possible on the posteromedial corner of the tibia.
• Identifying the adductor tubercle tendon helps locate bony prominences in the medial aspect of femoral condyle.
• Femoral fixation should be performed at 20° while applying a gentle varus force.

• Making the incision too posterior can put the saphenous nerve at risk.
• Not applying varus stress when securing the graft to the femur can result in residual uncorrected laxity.
• Failure to initiate a prompt rehabilitation program after surgery increases the risk of arthrofibrosis.