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This technical paper describes a modified Lemaire lateral extra\u2010articular tenodesis technique in which the iliotibial band flap is secured directly to the femoral suture button of the anterior cruciate ligament graft, thereby avoiding additional fixation devices. This technique minimizes the risk of tunnel convergence, leaves a smoother lateral condylar surface, and reduces postoperative irritation associated with metallic fixation, while providing strong fixation in the isometric zone.<\/jats:p>","DOI":"10.1002\/atn2.70138","type":"journal-article","created":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T16:33:32Z","timestamp":1780936412000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Simplifying Iliotibial Band Lateral Extra\u2010articular Tenodesis Fixation During Anterior Cruciate Ligament Reconstruction: A Hardware\u2010Sparing Approach"],"prefix":"10.1002","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1339-7900","authenticated-orcid":false,"given":"Emmanouil","family":"Papakostas","sequence":"first","affiliation":[{"name":"Surgery Department Aspetar Orthopaedic and Sports Medicine Hospital  Doha 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