Fig 3.

For preparation of the fibular tunnel (right knee, supine position, arthroscope in posteromedial portal), a tibial drill guide (AR-1510F; Arthrex) is introduced through the posterolateral portal. (A) A small incision is made anteroposterior to the FH, which can be easily palpated. (B) The tip of the drill guide is placed on the dorsomedial surface of the FH, which is visualized arthroscopically through the posteromedial portal. (C) A guidewire is then introduced in an anterolateral-to-posteromedial direction under arthroscopic visualization. (D) The fibular tunnel is drilled with a 5- or 6-mm drill, depending on the diameter of the tendon graft. (FH, fibular head.)