Once the ACL and PCL footprints are removed from the femoral side, I carefully resect the anterolateral and posteromedial PCL remnants with a 308 scope all the way to the level of the posterior horns of the medial and lateral menisci. Using a 308 scope Note from the Editor-in-Chief: We are pleased to present the next installment of ‘‘Pearls’’, a new column in Clinical Orthopaedics and Related Research. In this column, distinguished surgeons, scientists, or scholars share surgical or professional tips they use to help surmount important or interesting problems. We welcome reader feedback on all of our columns and articles; please send your comments to eic@clinorthop.org. One of the authors certifies that he (BAL) has received or may receive payments or benefits, during the study period, an amount of less than USD 10,000 from Arthrex Inc, Naples, FL, USA. All ICMJE Conflict of Interest Forms for authors and Clinical Orthopaedics and Related Research editors and board members are on file with the publication and can be viewed on request. Clinical Orthopaedics and Related Research neither advocates nor endorses the use of any treatment, drug, or device. Readers are encouraged to always seek additional information, including FDA approval status, of any drug or device before clinical use. The opinions expressed are those of the writers, and do not reflect the opinion or policy of CORR or The Association of Bone and Joint Surgeons. B. A. Levy MD (&) Department of Orthopedic Surgery and Sports Medicine, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA e-mail: levy.bruce@mayo.edu Fig. 1 View from the anterolateral portal establishing the posteromedial portal with the ‘‘needle and knife’’ technique (black arrow). (Reprinted from Operative Techniques in Sports Medicine, King AH, Prince MR, Reardon PJ, Levy BA, Stuart MJ, All-Inside Posterior Cruciate Ligament Reconstruction, Article in Press, Copyright (2015), with permission from Elsevier. http://www.sciencedirect.com/science/journal/10601872). Pearls Published online: 7 December 2015 The Association of Bone and Joint Surgeons1 2015