Fig 2.

Fibular tunnel formation in left knee (lateral view). (A) Blunt elevation of soleus muscle and fingertip palpation of posterior aspect of proximal tibiofibular joint. (B) Chandler retractor placement protects the common peroneal nerve and vascular bundle during tunnel formation. (C) Fibular aiming guide and 2.4-mm guide pin in place on fibular head with entry point on anterolateral aspect and aimed posteromedially, exiting just distal to fibular insertion of popliteofibular ligament. (D) Final fibular tunnel formation with 6-mm cannulated reamer over guide pin while Chandler retractor is kept in place to protect neurovascular bundle.