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The approach uses quadrupled hamstring grafts (semitendinosus and gracilis) and an \u201cover\u2010the\u2010loop\u201d passage of the iliotibial band through the graft loop. This technique aims to enhance rotational stability, minimize the risk of tunnel convergence, and reduce technical complexity and associated costs. Biomechanical benefits include improved rotational control, reduced graft rerupture rates, and optimized postoperative rehabilitation. The simplicity and reproducibility of this technique make it an attractive option for orthopaedic surgeons treating high\u2010risk patients or rotational sport athletes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Technique Video<\/jats:title>\n                    <jats:p>\n                      <jats:boxed-text content-type=\"video\" position=\"anchor\">\n                        <jats:graphic xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" position=\"anchor\" xlink:href=\"urn:x-wiley:22126287:media:atn2bf04117:atn2bf04117-vimg-0001\">\n                          <jats:alt-text>video<\/jats:alt-text>\n                        <\/jats:graphic>\n                      <\/jats:boxed-text>\n                    <\/jats:p>\n                    <jats:p>\n                      <jats:bold>See video under supplementary data.<\/jats:bold>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.eats.2025.103570","type":"journal-article","created":{"date-parts":[[2025,5,6]],"date-time":"2025-05-06T23:53:45Z","timestamp":1746575625000},"update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":5,"title":["Over\u2010the\u2010Loop Technique for Combined Anterior Cruciate Ligament Reconstruction and Modified Lemaire Tenodesis: Enhancing Rotational Stability With a Single Femoral Tunnel"],"prefix":"10.1002","volume":"14","author":[{"given":"Cristiano Jos\u00e9 Silva","family":"Manze","sequence":"first","affiliation":[{"name":"BS Knee (Brazilian Storm) Research Group S\u00e3o Paulo Brazil"},{"name":"Hospital Navegantes Porto Seguro Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roberto da Cunha","family":"Luciano","sequence":"additional","affiliation":[{"name":"BS Knee (Brazilian Storm) Research Group S\u00e3o Paulo Brazil"},{"name":"Hospital de Cl\u00ednicas da Universidade Federal de Uberl\u00e2ndia (HC\u2010UFU) Uberl\u00e2ndia Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Camilo Partezani","family":"Helito","sequence":"additional","affiliation":[{"name":"BS Knee (Brazilian Storm) Research Group S\u00e3o Paulo Brazil"},{"name":"USP (Universidade de S\u00e3o Paulo) Grupo de Joelho Instituto de Ortopedia e Traumatologia Hospital das Cl\u00ednicas (HCFMUSP) Faculdade de Medicina da Universidade de S\u00e3o Paulo S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sergio Marinho de Gusm\u00e3o","family":"Canuto","sequence":"additional","affiliation":[{"name":"BS Knee (Brazilian Storm) Research Group S\u00e3o Paulo Brazil"},{"name":"Ortoclinica Hospital de Ortopedia Macei\u00f3 Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pedro Baches","family":"Jorge","sequence":"additional","affiliation":[{"name":"BS Knee (Brazilian Storm) Research Group S\u00e3o Paulo 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