Table 2.

Pearls and Pitfalls of the DBACLR Technique Using Only Two Suspension Buttons and One Interference Screw

	Pearls	Pitfalls
Preparing the graft by GraftLink technique with 2 stitches on each end.	Enhance the security and strength of grafts.
ACL reconstruction process following grafts sizing, tunnels drilling, and graft insertion	Reconstruct the appropriate graft sizes for each tunnel.	Takes time, sometimes a re-drill of the tunnels is necessary.
Using an ENDOBUTTON for the proximal end of the AM bundle	Feasible, cost-saving, and low rate of complications.	AM bundle may be too long or too short in the tibial socket.
Femoral tunnel for PL bundle: outside- in	Reproducible
Fixing the PL bundle at 45° of knee flexion.	Reach the isometric position.
One tibial socket for AM & PL bundles		PL bundle placement at the posterolateral side to the AM bundle in the tibial socket is not always feasible.

ACL, anterior cruciate ligament; AM, anteromedial; DBACLR, double-bundle anterior cruciate ligament reconstruction; PL, posterolateral.