Open Access
Table 2
Key points for open cruciate procedures.
| No. | Description |
|---|---|
| 1 | Use traumatic dissection of posterolateral and posteromedial corners to gain access to the PCL insertion of the tibia |
| 2 | Minimize tourniquet use to prevent prolonged ischemia |
| 3 | For the retraction of posterior structures, stay subperiosteal and dissect past the midline prior to placing the Hohmann retractor |
| 4 | Even a small shift or subluxation of the patella out of the notch increases access and visualization of the cruciate ligaments greatly |
| 5 | Decreasing flexion of the knee allows better access to the notch |
| 6 | Sit during the dissection of the posterior approach to the tibia or stand on the opposite side of the table |
| 7 | Rotation of the tibia is often increased in collateral ligament injuries and facilitates access to the posterior tibia |
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