Skip to main content
. 2017 Sep 4;6(5):e1507–e1514. doi: 10.1016/j.eats.2017.05.032

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.