# Bone Quality-Independent Tibial Fixation Technique in Anterior Cruciate Ligament Reconstruction

## TL;DR

This paper introduces a new tibial fixation method for ACL reconstruction that works regardless of bone quality.

## Contribution

A novel screw, washer, and cap system for tibial fixation that does not rely on bone quality.

## Key findings

- The technique allows complete entrapment of a soft tissue graft inside the device.
- It provides interference fixation without depending on cancellous bone quality.

## Abstract

Optimal tibial fixation in anterior cruciate ligament reconstruction is critical. Both interference and suspensory graft fixation techniques exist, each with advantages and disadvantages. This Technical Note describes a tibial fixation technique using a screw, washer, and cap system that allows complete entrapment of a soft tissue graft inside the device, allowing for interference fixation without dependance on the quality of the patient's cancellous bone.