Combined Anterior Cruciate Ligament Reconstruction and Lateral Extra-articular Tenodesis With Augmented Continuous...

The purpose of this technical note is to describe a reproducible surgical technique for anterior cruciate ligament reconstruction combined with a lateral tenodesis using a continuous iliotibial band autograft that allows self-augmentation of graft diameter without the need for additional tendon harvesting. The key modification involves creating an augmented intra-articular graft by inverting a detached distal iliotibial band strip over the central portion of the graft, thereby increasing its diameter while preserving native continuity.