Minimally Invasive Intra-Articular Anterior Cruciate Ligament Reconstruction With Additional Extra-Articular Tenodesis Using Autologous Hamstrings With Over-the-Top Technique

We describe a minimally invasive surgical method to perform integrated reconstruction of intra-articular and extra-articular ligaments using the hamstring tendon as the graft. The process of intra-articular anterior cruciate ligament reconstruction and femoral over-the-top technique is completed under the arthroscope, and the reconstruction of the anterior lateral ligament outside the joint is completed using the percutaneous technique. Its simplicity and convenience enable us to apply in anterior cruciate ligament revision surgery.