Abstract
The evidence to date still favors anterior cruciate ligament (ACL) reconstruction over anterior cruciate ligament repair because ACL repair has a higher failure rate. However, there has recently been a resurgence of interest in primary ACL repair that has the potential to preserve its native tissue and improve its function. This Technical Note describes a double-bundle arthroscopic ACL repair combined with a modified Lemaire procedure. The extra-articular tenodesis improves anterolateral stability to enhance the success of the repair.