Table 2.
Pearls and Pitfalls
| Pearls | Pitfalls |
|---|---|
| Knee capsule must be preserved during harvest and preparation of strip of ITB. | Inaccurate identification of extra-articular landmark points will result in suboptimal postoperative outcome. |
| Femoral fixation of the strip of ITB and hamstring autograft must be done simultaneously. | Inappropriate position of the knee during tibial and femoral screw fixation will result in improper tensioning of the strip of ITB and hamstring autograft. |
| Femoral fixation of the strip of ITB and hamstring autograft should be done at 50°-60° of flexion and slight external rotation. | Muscular hernia and hematoma may result from improper closure of the fascia lata or lack of thorough hemostasis. |
| Tibial fixation of the hamstring autograft is done in 10°-30° of flexion; then the tibia is reduced. |
ITB, iliotibial band.