Technical note describes a surgical technique to enhance graft diameter in ligament reconstruction, indicating potential surgical benefits.
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.
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Zerr et al. (2026) studied this question.
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