Bone-Tendon-Bone ACL Reconstruction

Surgical Technique

ACL Reconstruction using a bone-tendon-bone graft has become increasingly popular especially among the younger, active patient population. BTB grafts are often harvested from the patient’s central third of the patellar tendon, or a surgeon may prefer an BTB allograft from a donor. Benefits of BTB grafts include faster healing rates from bone to bone integration and aperture fixation of the graft against the bone tunnels. 


EZStart™ Interference Screws


  • The tapered nose of the EZStart™ Interference Screw allows for easy initial placement and guidance of the screw between the bone graft and the tunnel.

Self -Tapping

  • The innovative dual-start thread design allows EZStart™ Interference Screws to advance when turned, while creating its own thread pattern.
  • Designed to eliminate the need for traditional taps.

GENESYS™ Matryx® Interference Screw

  • Provide an optimal combination of biologic healing* and mechanical integrity.
  • These interference screws deliver strong initial fixation during the critical healing period and provide a scaffold to enable bone in-growth during the subsequent resorption period.
  • This process allows restoration of the patient’s natural anatomy both biologically and mechanically.

The Infinity™ Modular Guide System

Infinity™ Guide Arms 

  • The Infinity Modular Guide System features five guide arms that accommodate both ACL & PCL procedures.

Infinity™ Guide Body 

  • For maximum ease-of-use, the Infinity Guide Bodies are designed for single-hand use – allowing surgeons to easily adjust the guide arm with their thumb. The guide arm’s centering feature is designed to prevent off-target drilling and enable tunnel placement. For convenience, the quick latch feature makes switching between and removing guide sleeves fast and easy.

Clinical Resources

Interested in Bone-Tendon-Bone ACL Reconstruction Technique?




1 Frank, Rachel and et. Al. “Anterior Cruciate Ligament Reconstruction Basics: Bone-Patellar Tendon-Bone Autograft Harvest”. The Journal of Arthroscopic and Related Surgery. August 2017.

*Biologic Healing is defined by ConMed as the body’s natural healing process.


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