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Anterior cruciate ligament (ACL) reconstruction is among the most performed orthopaedic surgical procedures. Combining ACL reconstruction with a lateral extra-articular procedure is crucial to improve the graft survival rate, especially in patients presenting with associated rotational instability. Multiple grafts and surgical techniques can be used to perform this combined procedure, each having its own advantages and disadvantages. This technical note describes a minimally invasive technique to perform combined ACL and anterolateral ligament reconstruction using a single autologous continuous graft: the rectus femoris tendon.
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Muro et al. (2025) studied this question.
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