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. 2020 Dec 21;9(12):e2013–e2019. doi: 10.1016/j.eats.2020.08.019

Table 1.

Pearls and Pitfalls

Pearls
 Care should be taken to subperiosteally expose the olecranon sufficiently to allow protection of the ulnar nerve medially and placement of knots under the anconeus laterally.
 Care should be taken to remove degenerative appearing tissue from the tendon edges.
 A high-speed burr should be used to remove all soft tissue and lightly decorticate the footprint.
 The cruciate drill tunnels should be placed on the most proximal medial and lateral aspects of the footprint to allow complete anatomic coverage of the footprint.
 An Army-Navy retractor should be used to protect the ulnar nerve while drilling the transverse tunnel.
 The arm should be placed in full extension and skeletal relaxation should be used while tying the sutures.
Pitfalls
 Removing too much bone when preparing the footprint
 Failure to aim the drill away from the joint surface during transosseous tunnel placement
 Failure to protect the ulnar nerve while drilling the transverse drill tunnel
 Not placing the knots under the anconeus to avoid knot irritation