Fig 5.

Anatomic graft positioning requires an exact implementation of the shuttling sutures, following the course of the native PLT (right knee, supine position). (A) To obtain a better overview, stay sutures can be used to retract the iliotibial band. (B) A bent clamp is introduced through the lateral stab incision and is then passed down along the popliteus tendon. This step should be observed arthroscopically to ensure correct placement. (C) A FiberStick is inserted through the fibular tunnel, and the FiberWire is passed into the posterolateral recessus, where it is grasped with the bent clamp. (D) The FiberWire is then shuttled through the lateral stab incision and the fibular tunnel. To provide more space for the clamp, the femoral guidewires may be retracted so that the tips slightly overtop the lateral cortex. (PLT, popliteus muscle tendon.)