Combined Anterior Cruciate Ligament Reconstruction and Extra‐articular Tenodesis Using the Iliotibial Band With Femoral Press‐Fit Fixation: A Low‐Cost and Reproducible Technique
The addition of a lateral extra-articular reinforcement to anterior cruciate ligament reconstruction has been shown to enhance rotational stability and protect the intra-articular graft. Although several techniques using the iliotibial band have been described, most rely on fixation devices that increase surgical cost and complexity. This Technical Note describes a low-cost, reproducible technique for combined anterior cruciate ligament reconstruction and lateral extra-articular tenodesis using the iliotibial band, with femoral press-fit fixation for both grafts. This approach eliminates the need for fixation hardware, simplifies the procedure, and may facilitate its adoption in a wide range of surgical settings worldwide.
Authors
- José Leonardo Rocha de Faria (ORCID: https://orcid.org/0000-0003-2635-1469)
- Rafael Erthal de Paula (ORCID: https://orcid.org/0000-0003-2112-7652)
- Joäo Antônio Matheus Guimaräes (ORCID: https://orcid.org/0000-0002-5647-2248)
- Vitor Barion de Pádua
- Felipe Galvão Abreu (ORCID: https://orcid.org/0000-0002-7735-3045)
- Valdeci Manoel de Oliveira (ORCID: https://orcid.org/0000-0001-7691-2127)
- Phelippe Valente Maia
- NAASSON TRINDADE CAVANELLAS
- Geraldo da Rocha Motta Filho (ORCID: https://orcid.org/0000-0002-5187-2787)
- José Paulo Gabbi Aramburu Filho
- Yuri Di Cavalcanti (ORCID: https://orcid.org/0000-0002-0363-3968)
Institutions
- Centro Universitário Academia (BR)
- Instituto Nacional de Traumatologia e Ortopedia (BR)
- Universidade Federal de São Paulo (BR)
Publication Details
- Journal
- Arthroscopy Techniques
- Published
- 2026-07-25
- DOI
- https://doi.org/10.1002/atn2.70187
- Primary Topic
- Knee injuries and reconstruction techniques
- Type
- article
- Field-Weighted Citation Impact
- 0.00