Graft Fixation Alternatives in Anterior Cruciate Ligament Reconstruction

Abstract

Reconstruction of the anterior cruciate ligament is a frequently performed procedure with outstanding results. Results are dependent upon an early postoperative physical therapy pro- gram that stresses early motion. Early rehabilitation demands rigid intraoperative mechanical fixation of the graft since therapy begins prior to biologic incorporation of the graft in the bone tunnels. Regardless of the graft substitute chosen, many methods of fixa- tion are available. The best fixation technique depends upon several factors including graft choice and surgeon comfort. We review current methods available for graft fixation in anterior cru- ciate ligament surgery.