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Two-incision ACL reconstruction
2%
61/2728
Tibial-inlay PCL reconstruction
12%
330/2728
Peroneal nerve exploration
9%
238/2728
Inside-out medial meniscus repair
46/2728
Inside-out lateral meniscus repair
74%
2029/2728
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The posterior-lateral capsular exposure needed to protect the neurovascular structures and allow suturing for an inside-out lateral meniscal repair is performed by developing the interval between the iliotibial band and biceps tendon. The lateral gastrocnemius is then retracted posteriorly and medially where it helps protect the neurovascular structures. Splitting below the biceps tendon puts the peroneal nerve at risk. According to Turman & Diduch, the gold standard remains inside-out vertical mattress suture repairs. They stated that all-inside repairs are best reserved for special circumstances, such as in the setting of concurrent ACL reconstruction. Illustration A shows a diagram of the postero-lateral approach. Incorrect Responses: 1. The capsular exposure is not needed for 2-incision ACL. 2. Open inlay PCL is usually performed from a direct posterior approach, or postero-medially. 3. The peroneal nerve can be explored by dissecting below the biceps. 4. Medial meniscus is approached from the medial side.
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