Fig 11.

Surgical step 8. The Achilles tendon allograft shown fixed in place by use of proximal, medial, and lateral triple-loaded suture anchors. The Y-limbs are spun 180° to allow for the corkscrew effect and reciprocal tightening of the iliofemoral ligament. The medial suture anchor is positioned just anterior to the lesser trochanter, and the lateral suture anchor is positioned on the anterior prominence of the greater trochanter crest. The limbs are tensioned in flexion and internal rotation of the hip. The wound is then irrigated, and closed in layers starting with the tensor fascia lata fascia, subcutaneous layer, and finally skin. The figures depicting the surgical procedure are in a supine position, on a left hip. Proximal, distal, medial, and lateral are the top, bottom, left, and right of the image, respectively.