Flipping method of a RetroButton during ACL reconstruction with outside-in femoral drilling using a FlipCutter.

Little information exists on the intraoperative difficulties and complications of using a RetroButton (Arthrex, Inc, Naples, Florida), which is a new suspensory device. However, some difficulties are encountered, such as incomplete sitting, pulling at the outside portion of the iliotibial band, or slipping during distal pulling due to incomplete transverse flipping. These problems can be avoided if the mechanism can be understood and some technical tips are practiced. The goal of this study was to determine the difficulties encountered during RetroButton femoral fixation and prevent iatrogenic complications with the RetroButton devices by offering some technical tips. Copyright 2012, SLACK Incorporated.