Table 1.

Pearls and Pitfalls of Anterior Cruciate Ligament Reconstruction With Bone Marrow Aspirate Concentrate Injection

Pearls

Release negative pressure and return the plunger back to the 30-mL line once blood begins to flow into the syringe.

If the desired yield is not obtained, reinsert the trephine and insert the aspiration needle a few more millimeters further.

If needed, use fluoroscopic imaging to confirm the aspiration needle's position.

Pitfalls

Avoid contact with the articular cartilage of the medial femoral condyle to avoid iatrogenic chondral damage.

If inserting the aspiration needle further to increase the yield, avoid going beyond the posterior femoral cortex.