Combined Anterior Cruciate Ligament Reconstruction and Extra-articular Tenodesis Using the Iliotibial Band With Femoral Press-Fit Fixation: A Low-Cost and Reproducible Technique.

The addition of a lateral extra-articular reinforcement to anterior cruciate ligament reconstruction has been shown to enhance rotational stability and protect the intra-articular graft. Although several techniques using the iliotibial band have been described, most rely on fixation devices that increase surgical cost and complexity. This Technical Note describes a low-cost, reproducible technique for combined anterior cruciate ligament reconstruction and lateral extra-articular tenodesis using the iliotibial band, with femoral press-fit fixation for both grafts. This approach eliminates the need for fixation hardware, simplifies the procedure, and may facilitate its adoption in a wide range of surgical settings worldwide.