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. 2022 Dec 21;12(1):e17–e23. doi: 10.1016/j.eats.2022.08.052

Table 1.

Pearls and Pitfalls

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.