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. 2021 Sep 21;10(10):e2375–e2381. doi: 10.1016/j.eats.2021.07.015

Table 2.

Pearls and Pitfalls

Pearls Pitfalls
A burr should be used to create a bleeding bony bed along the acetabular rim to enhance graft incorporation. Technically challenging procedure.
A specialized superior capsular reconstruction guide should be walked along the acetabular rim from anterior to posterior to confirm exact autograft length and anchor placement. The length of graft that can be harvested is limited by the size of the capsulotomy.
Harvesting the autograft from the femoral leaflet of the horizontal capsulotomy, or the "T" portion of the capsulotomy allows for normal capsular closure at the end of the case. The capsule may be of inadequate quantity or quality for adequate harvest in cases in which capsular deficiency is present.