{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T08:50:48Z","timestamp":1775724648305,"version":"3.50.1"},"reference-count":6,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T00:00:00Z","timestamp":1761696000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T00:00:00Z","timestamp":1761696000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T00:00:00Z","timestamp":1761696000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T00:00:00Z","timestamp":1761696000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,10,2]],"date-time":"2025-10-02T00:00:00Z","timestamp":1759363200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["arthroscopytechniques.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["arthrosc. tech."],"published-print":{"date-parts":[[2025,12]]},"abstract":"Abstract<\/jats:title>\n \n \n The modified Lemaire lateral extra\u2010articular tenodesis (LET) has gained increasing adoption as an augmentation technique for high\u2010risk primary and revision anterior cruciate ligament (ACL) reconstructions. Recent studies show lower rates of ACL graft failure and rotatory laxity when LET is combined with ACL reconstruction. In revision ACL surgery, optimal graft fixation becomes especially critical because compromised bone stock from previous surgeries increases the risk of fixation failure attributable to device failure, bone osteopenia, suboptimal tunnel placement, or inadequate tendon\u2010bone interface. To address these challenges, backup femoral fixation methods using suture anchors are employed to reinforce primary fixation. This Technical Note presents a technique for backup fixation of ACL graft combined with LET anchoring through a single suture anchor. This approach offers several advantages including dual fixation capability through a single anchor, compatibility with various primary fixation methods, and enhanced stability in cases with decreased bone quality or suboptimal tunnel positioning.<\/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.2025.103963","type":"journal-article","created":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T15:22:57Z","timestamp":1761751377000},"update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Simultaneous Backup Femoral\u2010sided Anterior Cruciate Ligament Graft Fixation and Lateral Extra\u2010Articular Tenodesis With Iliotibial Band Anchoring With Single\u2010Suture Anchor"],"prefix":"10.1002","volume":"14","author":[{"given":"Olivia M.","family":"Jochl","sequence":"first","affiliation":[{"name":"Hospital for Special Surgery New York New York U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eddie K.","family":"Afetse","sequence":"additional","affiliation":[{"name":"Wake Forest School of Medicine Winston Salem North Carolina U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Donovan A.","family":"Bronstein","sequence":"additional","affiliation":[{"name":"The Steadman Clinic Vail CO U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jack H.","family":"Kramer","sequence":"additional","affiliation":[{"name":"University of Illinois College of Medicine Rockford Illinois U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph J.","family":"Ruzbarsky","sequence":"additional","affiliation":[{"name":"The Steadman Clinic Vail CO U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,10,29]]},"reference":[{"issue":"7","key":"e_1_2_3_2_1","article-title":"Lateral extra\u2010articular tenodesis reduces failure of hamstring tendon autograft ACL reconstruction\u2014two year outcomes from the STABILITY study randomized clinical trial","volume":"7","author":"Getgood A.M.","year":"2019","journal-title":"Orthop J Sports Med"},{"key":"e_1_2_3_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2023.05.019"},{"key":"e_1_2_3_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/1941738113500910"},{"key":"e_1_2_3_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/23259671231166380"},{"key":"e_1_2_3_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465231173698"},{"key":"e_1_2_3_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/23259671221114820"}],"container-title":["Arthroscopy 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Published by Elsevier Inc. on behalf of the Arthroscopy Association of North America\u00e9","name":"copyright","label":"Copyright"}],"article-number":"103963"}}