Modified Ellison Lateral Extra-articular Tenodesis of the Knee With a Knotless All-Suture Anchor

Anterior cruciate ligament reconstruction is a surgical procedure that has largely undergone changes; its techniques have improved over the years to achieve the most appropriate graft choice, preparation, positioning, and fixation, thereby preserving graft survival. Residual rotational instability is largely present in patients who receive only anterior cruciate ligament reconstruction, leading to a higher rerupture rate, especially in higher-risk patients. Lateral extra-articular tenodesis is part of the larger family of lateral extra-articular procedures that aim to lengthen graft life span by protecting it from excessive tibial internal rotation. Various techniques with different implants have been described to perform this reconstruction. This Technical Note presents a modified Ellison technique that obtains fixation through a knotless all-suture anchor. This technique is faster, is less invasive, and provides equally effective results.