Lateral Extra-articular Tenodesis: The Onlay Technique

Tibial anterolateral rotary instability associated with anterior cruciate ligament (ACL) tears is a well-documented and difficult problem long history of solutions. The lateral extra-articular tenodesis (LET) has undergone multiple refinements in technique, largely focusing on the femoral site insertion using either an interference screw versus staple for adequate fixation. In this article, we present improved technique suture anchor as alternative to or secure fixation insert LET graft onto femur. This diminishes chance ACL tunnel–LET drilling convergence, minimizes footprint required fixation, allows surgeon dial correct tension necessary augmentation reconstruction.