{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T16:56:26Z","timestamp":1791478586073,"version":"4.3.4"},"reference-count":6,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T00:00:00Z","timestamp":1791417600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T00:00:00Z","timestamp":1791417600000},"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."],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>The purpose of this technical note is to describe a simple and atraumatic loop\u2010passing technique that facilitates tibial anterolateral ligament (ALL) graft passage in Sonnery\u2010Cottet combined anterior cruciate ligament and ALL reconstruction. In the Sonnery\u2010Cottet technique, 2 converging tibial tunnels are created for the ALL, requiring a passing loop to shuttle the graft between tunnels. Conventionally, a needle\u2010mounted braided suture is advanced blindly through subcutaneous tissue, which can be unreliable in patients with thick subcutaneous tissue and may increase the risk of cortical breach or extraosseous passage. We describe a knot\u2010pusher\u2010assisted loop\u2010passing technique using a 0 silk suture. A knot pusher loaded with the silk suture is introduced through 1 tibial tunnel and positioned at the tunnel convergence zone. The silk loop is retrieved from the second tunnel using a probe, creating a continuous loop for graft passage. This technique provides a simple, reliable, and atraumatic method for tibial ALL graft passage in Sonnery\u2010Cottet combined anterior cruciate ligament and ALL reconstruction.<\/jats:p>","DOI":"10.1002\/atn2.70305","type":"journal-article","created":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T16:27:32Z","timestamp":1791476852000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A Simple and Atraumatic Loop\u2010Passing Technique for Tibial Anterolateral Ligament Graft Passage in Sonnery\u2010Cottet Anterior Cruciate Ligament + Anterolateral Ligament Reconstruction"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-6383-0668","authenticated-orcid":false,"given":"Yukio","family":"Nakajima","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery School of Medicine Fujita Health University  Toyoake 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Orthopaedic Surgery School of Medicine Fujita Health University  Toyoake Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yusuke","family":"Kawano","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery School of Medicine Fujita Health University  Toyoake Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8658-2088","authenticated-orcid":false,"given":"Nobuyuki","family":"Fujita","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery School of Medicine Fujita Health University  Toyoake Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,8]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2025.06.012"},{"key":"e_1_2_6_3_1","first-page":"789","article-title":"Combined anterior cruciate ligament and anterolateral ligament reconstruction: A systematic review of clinical outcomes","volume":"40","author":"Helito CP","year":"2024","journal-title":"Arthroscopy"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465211028990"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546516686057"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2019.02.042"},{"key":"e_1_2_6_7_1","first-page":"e1309","article-title":"Combined anterior cruciate ligament and anterolateral ligament reconstruction","volume":"5","author":"Sonnery\u2010Cottet B","year":"2016","journal-title":"Arthrosc Tech"}],"container-title":["Arthroscopy 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