Description
Suspended cortical femoral button fixation is technically demanding: it requires adequate balancing and tensioning of the transplant. To achieve this, the femoral button must be well applied to the lateral cortex. The major disadvantage of suspended fixation of the graft is the interposition of soft tissue between the button and the cortical bone, with a detached appearance that is a source of concern for the surgeon. In fact, soft tissue interposition remains quite frequent ,especially at the beginning of the learning curve without a major impact on functional outcomes. Thus, many authors proposed some technical tips and methods for prevention of soft tissue interposition such as direct arthroscopic visualization to confirm proper femoral button deployment and specially to prevent its extension beyond the vastus lateralis fascia or iliotibial band which might have a negative impact.
