Over-the-Loop Technique for Combined Anterior Cruciate Ligament Reconstruction and Modified Lemaire Tenodesis: Enhancing Rotational Stability With a Single Femoral Tunnel.
expert_opinion · Level V
Where this comes from
- Record sourced from PubMed, PMID 40822232.
- Also identified by DOI 10.1016/j.eats.2025.103570 and PMC identifier 12350233.
- Licence recorded as CC BY.
- The licence permits redistribution, so the abstract is shown in full and the full text is available from the publisher.
Abstract
This article describes a combined technique for anterior cruciate ligament reconstruction and modified anterolateral Lemaire tenodesis using a single femoral tunnel. The approach uses quadrupled hamstring grafts (semitendinosus and gracilis) and an "over-the-loop" passage of the iliotibial band through the graft loop. This technique aims to enhance rotational stability, minimize the risk of tunnel convergence, and reduce technical complexity and associated costs. Biomechanical benefits include improved rotational control, reduced graft rerupture rates, and optimized postoperative rehabilitation. The simplicity and reproducibility of this technique make it an attractive option for orthopaedic surgeons treating high-risk patients or rotational sport athletes.
Anatomy
- femur