# Tenodesis of the Iliotibial Tract in the Treatment of Lesions of the Anterolateral Knee Complex – Description of a Modified Technique

## TL;DR

This paper introduces a modified surgical technique for treating knee injuries by combining a tendon graft with a tenodesis of the iliotibial tract.

## Contribution

The novelty lies in the modified lateral extraarticular tenodesis technique using a shared bone tunnel for graft and iliotibial tract fixation.

## Key findings

- The technique uses a quadruple semitendinosus and gracilis tendon graft with femoral fixation via a single interference screw.
- The bone tunnel entrance is positioned at the lateral epicondyle, aligning with the anterolateral ligament's origin.
- A structured postoperative protocol allows return to sports by the 9th month.

## Abstract

The authors describe a modified lateral extraarticular tenodesis technique for the treatment of anterolateral complex knee injuries, performed in association with anterior cruciate ligament reconstruction, using a quadruple semitendinosus and gracilis tendon graft. Femoral fixation of the graft is performed with a single interference screw, together with the central band of the iliotibial tract, from the outside in, sharing the same bone tunnel, whose entrance is positioned in the topography of the lateral epicondyle (at the level of the origin of the anterolateral ligament). The postoperative protocol includes physiotherapy during the first 4 months, followed by the initiation of muscle strengthening, with clearance for return to sports starting from the 9
th
month.