Lateral Extra-articular Tenodesis Using Knotless All-Suture Anchor Fixation With Suture Tape: A Modified Technique for Augmenting Anterior Cruciate Ligament Reconstruction.

Kemler, Bryson R; Sebt, Seena; Banffy, Michael B · Arthrosc Tech · 2026

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Abstract

Lateral extra-articular tenodesis has emerged as a valuable adjunct to anterior cruciate ligament reconstruction for mitigating residual rotational instability. We describe a modified lateral extra-articular tenodesis technique utilizing an all-suture knotless anchor with suture tape, which provides strong, flexible fixation with reduced soft-tissue trauma. This technique improves graft integration, minimizes hardware prominence, and offers superior biomechanical stability compared with traditional fixation methods.