Christian Lutz, M. D. , Bertrand Sonnery-Cottet, M. D

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Combined Anterior and Anterolateral Stabilization of the Knee With the Iliotibial Band Christian Lutz, M.D., Bertrand Sonnery-Cottet, M.D., Pierre Imbert, M.D., Nuno Camelo Barbosa, M.D., Sanesh Tuteja, M.D., Jean-Henri Jaeger, M.D., Ph.D. Arthroscopy Techniques Volume 5, Issue 2, Pages e251-e256 (April 2016) DOI: 10.1016/j.eats.2015.12.004 Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 1 (A) Patient positioning. (B) Surface making of the skin incision—fibular head (FH), Gerdy's tubercle (GT), and tibial anterior tuberosity (TA). Arthroscopy Techniques 2016 5, e251-e256DOI: (10.1016/j.eats.2015.12.004) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 2 Harvesting iliotibial band (ITB). (A) Distal exposure. (B) Proximal exposure. (C) Size of the graft. (D) Tubulization of the graft. Arthroscopy Techniques 2016 5, e251-e256DOI: (10.1016/j.eats.2015.12.004) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 3 Femoral tunnel. (A) Extra-articular femoral landmark—lateral collateral ligament (LCL). The arrow indicates the Lemaire vessels; the blue circle shows the landmark. (B) Intra-articular femoral guide positioning. The asterisk indicates the lateral condyle; the arrow indicates the femoral guide. (C) Extra-articular femoral guide fixation. Arthroscopy Techniques 2016 5, e251-e256DOI: (10.1016/j.eats.2015.12.004) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 4 Tibial tunnel. (A) Intra-articular tibial guide positioning (asterisk shows the lateral tibial spine). (B) Extra-articular tibial guide positioning. (C) Intra-articular tunnel placement. Arthroscopy Techniques 2016 5, e251-e256DOI: (10.1016/j.eats.2015.12.004) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 5 Graft passage. (A) Femoral recovering of the puller suture (asterisk indicates the lateral condyle). (B) Arthroscopic grasper trough the tibial tunnel. (C) Anterior cruciate ligament (ACL) reconstruction. (D) Anterolateral ligament (ALL) reconstruction. The arrow indicates the anterolateral ligament. (FT, femoral tunnel; GT, Gerdy tubercle.) Arthroscopy Techniques 2016 5, e251-e256DOI: (10.1016/j.eats.2015.12.004) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 6 Tibial fixation of the graft at 30° flexion and neutral rotation with an 8 × 25 mm bioasorbable interference screw—lateral view. Arthroscopy Techniques 2016 5, e251-e256DOI: (10.1016/j.eats.2015.12.004) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 7 (A) Iliotibial band (ITB) closure. (B) Intermuscular septum section (yellow arrow). (C) ITB anterior translation (yellow arrow). Arthroscopy Techniques 2016 5, e251-e256DOI: (10.1016/j.eats.2015.12.004) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions