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. 2022 Aug 6;11(9):e1531–e1539. doi: 10.1016/j.eats.2022.04.003

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© 2022 The Authors

This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

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Fig 4 — Preparation of the femoral side for the left knee superficial medial collateral ligament (sMCL) and posterior oblique ligament (POL) tunnels and graft placement. (A) The femoral origin of the sMCL is performed with a guide pin introduced at the previously exposed point on the femur bicortically. (B) Once the Achilles tendon allograft bone block is pulled into the tunnel, the graft is secured with an 8 × 25-mm interference screw (SoftSilk 1.5 Fixation Screws; Smith & Nephew) on the femur. (C) Using the second prepared portion of the split Achilles allograft, the 11 × 25-mm bone block and associated soft tissue for the new POL is delivered into the previously established bone tunnel and secured with an 8 × 25-mm interference screw. (D) A plane is made deep to the medial retinacular tissues, but superficial to the semimembranosus, to deliver the POL graft distally. In a similar fashion, the free end of the sMCL graft is passed distally, deep to the medial retinacular tissues.