Combined Anterior Cruciate Ligament Reconstruction and Extra-articular Tenodesis Using the Iliotibial Band With Femoral Press-Fit Fixation: A Low-Cost and Reproducible Technique.

Rocha de Faria, José Leonardo; Abreu, Felipe Galvão; de Pádua, Vitor Barion; de Oliveira, Valdeci Manoel; de Paula, Rafael Erthal; Cavalcanti, Yuri Di; Cavanellas, Naasson Trindade; Filho, José Paulo Gabbi Aramburú et al. · Arthrosc Tech · 2026

other · Level V

Where this comes from

Abstract

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.