Combined Reconstruction of the Posterolateral Corner, Anterior Cruciate Ligament, and Lateral Extra-articular Tenodesis Using Autografts and a Single Femoral Tunnel.

Pinheiro, Igor Natário; de Paula, Rafael Erthal; Pedrinha, Igor Stefano Menescal; Villardi, João Gabriel de C C; Lopes Ramos, Nathan Silvério; de Castro Padovani, Rafael Moraes; de Oliveira, Vitor Chatack; de Matos Pinto Bravo, Gustavo et al. · Arthrosc Tech · 2026

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Abstract

This surgical technique describe the reconstruction of the anterior cruciate ligament and the posterolateral corner, in addition to lateral extra-articular tenodesis, using a single femoral tunnel positioned at Stannard's isometric point. The technique employs autologous grafts from the semitendinosus, gracilis, and iliotibial band, resulting in a more cost-effective, faster, and reproducible procedure compared to isolated anterior cruciate ligament and posterolateral corner reconstruction.