{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T14:16:33Z","timestamp":1784556993252,"version":"3.55.0"},"reference-count":17,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T00:00:00Z","timestamp":1782086400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T00:00:00Z","timestamp":1782086400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["arthroscopyjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["arthrosc. tech."],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>The addition of a lateral extra\u2010articular procedure to anterior cruciate ligament reconstruction has been shown to improve rotational stability and reduce graft failure rates, particularly in high\u2010risk patients. However, tunnel convergence remains a major concern in combined anterior cruciate ligament reconstruction and lateral extra\u2010articular procedure techniques, as it may compromise graft integrity and lead to failure. This technical note describes a technique for anterior cruciate ligament reconstruction using a tripled semitendinosus graft, maintaining its tibial attachment, combined with a modified Lemaire extra\u2010articular tenodesis. The femoral tunnel is created using an outside\u2010in drilling technique, allowing both the intra\u2010articular anterior cruciate ligament graft and the lateral extra\u2010articular tenodesis graft to be secured within the same tunnel using a single interference screw. This approach simplifies the procedure by eliminating additional fixation devices and reducing the risk of tunnel convergence, while maintaining bone stock and cost\u2010effectiveness.<\/jats:p>","DOI":"10.1002\/atn2.70003","type":"journal-article","created":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T15:50:07Z","timestamp":1782143407000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Anterior Cruciate Ligament Reconstruction With Hamstrings Autograft and Modified Lemaire Extra\u2010articular Tenodesis Using a Single Femoral Tunnel"],"prefix":"10.1002","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0700-8139","authenticated-orcid":false,"given":"Alessandro","family":"Carrozzo","sequence":"first","affiliation":[{"name":"Dipartimento di Scienze della Vita, della Salute e delle Professioni Sanitarie Universit\u00e0 degli Studi \u201cLink Campus University\u201d  Rome 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