Direct Arthroscopic Visualization of Anterior Cruciate Ligament Femoral Cortical Button Using Guide Pin Sleeve Technique to Confirm Appropriate Flipping Inside the Knee Joint.

ABSTRACT: The anterior cruciate ligament (ACL) TightRope RT/BTB (Arthrex, Naples, FL) is an adjustable-loop device with a button used in ACL reconstruction. Malposition of the ACL TightRope RT/BTB button (3.5 mm × 13 mm) can be a complication. We describe a safe and simple method using the 2.4-mm guide pin sleeve from the RetroConstruction drill guide set (Arthrex), with direct arthroscopic visualization, to prevent the ACL TightRope RT/BTB button from over-running and flipping outside the joint. The key points of this method are as follows: First, the soft tissue around the guide pin used to create the femoral tunnel is carefully dissected under arthroscopy. Second, the graft is gently advanced into the femoral socket until the button is nearly entering the guide pin's hole. Third, the blue passing

SUBMITTER: Ryu K 

PROVIDER: S-EPMC12801059 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature