The Quad 2.0 Technique: A Single Rectus Femoris Tendon Autograft Solution for Combined Anterior Cruciate Ligament and Double‐Bundle Anterolateral Ligament Reconstruction

Rectus femoris tendon autograft is gaining popularity for anterior cruciate ligament (ACL) reconstruction as the result of advancements in harvesting techniques that minimize soft-tissue dissection and reduce donor-site morbidity. In this Technical Note, we describe a surgical technique for ACL and anterolateral ligament reconstruction in revision ACL cases using a single rectus femoris autograft, with a focus on the harvesting technique to ensure adequate graft length and diameter. Notably, anterolateral ligament fixation is performed without the need for additional femoral or tibial tunnels.