Provides a comprehensive, high-yield look at an integrated approach to rotational and anterior knee stability. The presentation starts with a clear review of the three-layer quadriceps architecture and identification of the fatty plane between layers 1 and 2—critical for safe, efficient harvest of the rectus femoris. It then walks through distal detachment, whip-stitching, and careful use of a tendon stripper (aimed toward the AIIS) to obtain a ~320 mm graft. Preparation highlights include asymmetric folding to create an ~8 mm ACL construct and a single-strand remnant for the ALL. Socket and tunnel work features a retrograde tibial reamer to the ACL footprint, an outside-in femoral tunnel at the lateral epicondyle, and passage with a carrier wire for precise graft positioning. Fixation is achieved with a suspensory button on the tibial side and an interference screw on the femoral side, followed by targeted ALL reconstruction near Gerdy’s tubercle using anchors and locking-loop/supplementary stitches. The case concludes with re-tensioning at 30° of flexion and postoperative stability confirmation (anterior drawer, Lachman), illustrating a reproducible method suitable for complex or revision scenarios.