Endoscopic Technique to Remove Endobutton After Anterior Cruciate Ligament Reconstruction

Suture button-based femoral cortical suspension constructs of anterior cruciate ligament grafts may facilitate fast and secure fixation. The necessity of Endobutton removal is controversial. Many current surgical techniques do not allow direct visualization of the Endobutton(s), making it challenging to remove; the buttons are fully flipped without soft tissue interposition between the Endobutton and femur. This Technical Note demonstrates endoscopic removal of Endobuttons through the lateral femoral portal. This technique allows direct visualization facilitating easier hardware removal while harnessing the advantages of a less-invasive procedure.