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Recently, there has been growing evidence showing that combining the anterolateral ligament (ALL) reconstruction with ACL\u2010R revision reduces the risk of postoperative ACL rupture and meniscal tears, and therefore, the ALL reconstruction becomes essential to a complex ACL revision. The technique that we describe is mainly used in the setting of complex ACL revision with extensive tunnel osteolysis associated with rotational instability of the knee. This article presents a technique for a one\u2010stage complex ACL\u2010R revision combined with ALL reconstruction using an Achilles tendon allograft with a bone plug.<\/jats:p>\n <\/jats:sec>\n \n Technique Video<\/jats:title>\n \n \n \n video<\/jats:alt-text>\n <\/jats:graphic>\n <\/jats:boxed-text>\n <\/jats:p>\n \n See video under supplementary data.<\/jats:bold>\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1016\/j.eats.2023.09.002","type":"journal-article","created":{"date-parts":[[2023,12,18]],"date-time":"2023-12-18T04:04:53Z","timestamp":1702872293000},"update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":7,"title":["Complex Anterior Cruciate Ligament Revision and Lateral Extra\u2010Articular Tenodesis With Achilles Tendon Allograft: The \u201cMonoloop\u201d Technique"],"prefix":"10.1002","volume":"13","author":[{"given":"Mattia","family":"Chirico","sequence":"first","affiliation":[{"name":"University of Florence Orthopaedic Clinic CTO Careggi Florence Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zyad Ayman","family":"Taha","sequence":"additional","affiliation":[{"name":"University of Florence Orthopaedic Clinic CTO Careggi Florence Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mattia","family":"Carminati","sequence":"additional","affiliation":[{"name":"University of Florence Orthopaedic Clinic CTO Careggi Florence Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roberto","family":"Civinini","sequence":"additional","affiliation":[{"name":"University of Florence Orthopaedic Clinic CTO Careggi Florence Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabrizio","family":"Matassi","sequence":"additional","affiliation":[{"name":"University of Florence Orthopaedic Clinic CTO Careggi Florence 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Published by Elsevier Inc. on behalf of the Arthroscopy Association of North America.","name":"copyright","label":"Copyright"}],"article-number":"102826"}}