Table 2.

Pearls and Pitfalls

Good and meticulous preparation of the graft is needed so that the sutures are completely buried inside the graft in its intra-articular part, thus reducing potential irritation at the articular surface or synovitis.

The 2 ends of the internal sutures should be pulled separately, independent of the graft, after the TightRope is tightened to ensure there are no lax sutures inside the graft material.

Over-tightening should be avoided during backup cortical fixation outside the tibial tunnel while the knee is in full extension to avoid any potential limitation of range of motion or pulling the Bio-Interference Screw outside the tibial tunnel.