Early clinical outcomes of over-the-top anterior cruciate ligament reconstruction combined with lateral extra-articular tenodesis

Figure 1 Thirty-seven-year-old male with an anterior cruciate ligament injury and grade III pivot shift. A: Preoperative sagittal T2-weighted image (T2WI) showing increased and heterogeneous signal intensity of the anterior cruciate ligament (ACL) (arrow); B and C: Preoperative (B) coronal and (C) axial T2WI showing absence of the ACL, indicated by the low signal intensity within the intercondylar notch (arrow); D: Sagittal T2WI obtained 24 months postoperatively showing a reconstructed ACL graft with uniform low signal intensity (arrow); E: Coronal T2WI obtained 24 months postoperatively showing the graft in a stable position posterior to the lateral femoral condyle without displacement (arrow); F: Axial T2WI obtained 24 months postoperatively showing the fixation screw used for lateral extra-articular tenodesis (arrow).