Fig. 2

Image of the revision anterior cruciate ligament (ACL) reconstruction with a tibial tunnel from the lateral plateau. The tip of the tibial tunnel guide enters through the anterolateral portal, and the guidewire enters the tibia close to the tibial crest. In the image, it is possible to see that the combined femoral tunnel for the ACL and the anterolateral ligament has already been performed (A). The Achilles tendon allograft is passed from the tibia to the femur (B), and the remaining portion of the graft is passed below the iliotibial band toward the anterolateral tibia for the anterolateral ligament reconstruction (C)