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Table 2: Summarizes key point to avoid complications. |
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To avoid damaging the physis, epiphyseal femoral fixation should be performed under fluoroscopic control |
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Consider the undulating shape of the distal femoral physis during femoral fixation |
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Avoid fixation with transverse tunnels in the patella (may cause a fracture) |
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Tension both arms of the graft with the knee flexed at 30-40 degrees |
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After graft fixation, ensure that the patella can move one quadrant laterally with the knee extended |