Posterolateral reconstruction with biceps femoris tendon (Clancy). A, Common peroneal nerve must be carefully dissected free; biceps muscle is freed from attachments to lateral gastrocnemius muscle and tendon. B, Superior insertion of lateral collateral ligament on lateral epicondyle. C, Insertions of common biceps tendon into arcuate complex posteriorly and horseshoe insertion around lateral collateral ligament. D, Trough is made in upper third of the lateral femoral epicondyle. Distal 5 cm of biceps muscle is removed to allow fixation of tendon to epicondyle. E, Tendon is brought anteriorly to trough in epicondyle. F, AO cancellous screw and washer are placed inferior to tendon and tightened to hold tendon in place. SEE TECHNIQUE 45.12.