- reported higher incidence with immediate reconstruction in acute phase
- reduced by settling inflammation / effusion and obtaining FROM
- always best to delay if not professional athlete
- problematic if patient has locked bucket handle mensical tear
Bottoni et al Am J Sports Med 2008
- RCT of early (average 9 days) v late reconstruction (average 85 days)
Viewing portal
- 1cm lateral to patella tendon
- 1cm above joint line
- 1 cm below inferior pole patella
Problems
- too medial, in fat pad
- too high, limitation by patella, difficult to see posterior horns
- too low, damage anterior horn meniscus
Limitations
- PCL
- anterior horn LM
The coronoid is the most important portion of ulno-humeral articulation
Reasons
1. Provides anterior buttress
2. Anterior capsule and brachialis attach to coronoid
2. Anterior band of the MCL attaches to it
- distally and medially on sublime tubercle