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we describe it percutaneous technique to reposition the cortical button of adjustable loop devices and ACL reconstruction this technique uses the standard arthroscope sheath for four point five millimeters 30 degree arthroscope the adjustable loop device cortical button has an inherent risk of being over polled leading to flipping of cortical button in the soft tissue repositioning the cortical button back over the lateral cortex of femur is usually not possible without open approach due to soft tissue interposition this complication is suspected when the marks made on the loop of cortical button does not come back to the aperture level of femoral tunnel in the graft is pulled from tibial side this can be confirmed under image intensifier steps to reposition the cortical button step one to reposition the cortical button a small stab incision is given at the eggs at site of sutures in the cortical button is delivered out of the skin step two the sutures are passed through the arthroscop
