ACL Reconstruction Using a Plug-In Fascia Lata Graft for Anatomic Femoral Direct Fiber Coverage

This article describes a novel technique for ACL reconstruction using a fascia lata graft and Fibertags (Arthrex) for anatomic femoral direct fiber restoration.The folded fascia lata graft mimics the ribbonlike appearance of the ACL with an anteromedial and posterolateral portion.These portions are secured into separate femoral tunnels, which are connected by a ridge.Through this technique, the femoral direct fiber insertional morphology of the ACL is addressed.Further research is needed to show potential biomechanical and clinical advantages compared to contemporary single bundle ACLR.