# Minimally Invasive Intra-Articular Anterior Cruciate Ligament Reconstruction With Additional Extra-Articular Tenodesis Using Autologous Hamstrings With Over-the-Top Technique

## TL;DR

This paper introduces a minimally invasive surgical technique for reconstructing both intra-articular and extra-articular ligaments using hamstring tendon grafts.

## Contribution

The novel contribution is a combined intra-articular and extra-articular ligament reconstruction method using a minimally invasive approach.

## Key findings

- The technique uses arthroscopy for intra-articular reconstruction and percutaneous methods for extra-articular tenodesis.
- The method is suitable for anterior cruciate ligament revision surgery due to its simplicity and convenience.

## Abstract

We describe a minimally invasive surgical method to perform integrated reconstruction of intra-articular and extra-articular ligaments using the hamstring tendon as the graft. The process of intra-articular anterior cruciate ligament reconstruction and femoral over-the-top technique is completed under the arthroscope, and the reconstruction of the anterior lateral ligament outside the joint is completed using the percutaneous technique. Its simplicity and convenience enable us to apply in anterior cruciate ligament revision surgery.