Table 1.
Pearls |
A bilateral stability examination should be performed with the patient under anesthesia before incision and after initial exposure to assess stability of the PTFJ. |
PTFJ reduction should be maintained throughout tibial tunnel formation to ensure anatomic orientation of the tunnels for future graft placement. |
The surgeon should maintain a high level of suspicion for associated intra- and extra-articular lesions and be prepared to treat them if encountered (by meniscal repair, cartilage restoration, and so on). |
Ipsilateral ankle instability should be tested and addressed if needed. |
Pitfalls |
A subluxated fibular head may distort the anatomy of the lateral knee; thus, careful dissection during peroneal nerve neurolysis should be performed to avoid injury to this structure. |
Inadequate neurolysis may lead to postoperative motor and/or sensory deficits in the common peroneal nerve distribution. |
Failure to identify and treat concomitant lesions may yield unsatisfactory patient-reported functional and pain improvements. |
PTFJ, proximal tibiofibular joint.