The over-the-top technique with lateral plasty is a technique that allows anterior cruciate ligament reconstruction and lateral plasty using a graft consisting of semitendinosus and gracilis that remain attached at the tibial level. This technique uses only the tibial tunnel without the femoral tunnel. We report on a series of 3 patients operated on for anterior knee instability following an anterior cruciate ligament injury in the orthopaedic department of the Delafontaine Hospital in Saint Denis, France, and discuss the results with a review of the literature.