877 Hsu Figure 2. (A) A fish-mouth-shaped incision was used incorporating the patient's previous soft tissue defect and care was taken to preserve the adductor tendons 4-5 cm distal to the skin incision. The adductor magnus was dissected off of bone and then secured using locked Krackow sutures with FiberTape (Arthrex, Inc, Naples, FL). (B) Two drill holes were then made spaced 2 cm apart along the anterolateral aspect of the distal femur using a 3.5-mm drill bit and tap on power. (C) After tensioning the adductor tendons across the distal end of the femur with the thigh in neutral alignment, the tendons were secured to the femur using two 4.75×19-mm knotless SwiveLock anchors (Arthrex, Inc). Figure 3. (A) Intraoperative appearance of the final adductor myodesis to the anterolateral aspect of the distal femur. (B) The adductor flap was then joined to the remaining anterior and posterior musculature followed by layered soft tissue closure. 7. After the tendon is secured, 2 drill holes spaced approximately 1.5 to 2 cm apart are made along the anterolateral aspect of the distal femur using a 3.5 mm drill. The tap for a 4.75-mm anchor is used on power in the drill holes as the lateral cortex of the femur is often thick and not amenable to tapping by hand. In