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first with the knee in flexion looking at the knotch we see an ACL deficient knee the knee is then extended and for the scope in the antrum middle portal and the shaver and the anterolateral portal we debride the synovial recess in the lateral gutter the rest of the surgery is done in the routine manner here we see the femoral socket being prepared we now extend the knee to see where the button is going to exit the tibial socket is then prepared now we are ready for craft and button passage through the femoral socket Denis is then extended now and we see the button exiting and being seated on the lateral femoral cortex the graft is then seated in the family so KITT and then in the tibial socket after cycling and then tightening the graft is checked to make sure there is no notch impingement and with the knee in extension the lateral gutter is specialized the blue leading suture is removed and not tied under direct vision of the white soldier its then cut to make sure that it remains un