Intraoperative manual resistance and direct intra-articular visualization maneuvers were an effective method for properly deploying suspensory button devices during ACLR. The low rates of improper deployment and malpositioning with these maneuvers do not warrant the use of intraoperative fluoroscopic imaging, resulting in safer, faster, and more cost-effective surgical procedures for patients.
Cantrell et al. (Tue,) studied this question.