ACL Reconstruction with Aperture Fixation - Surgical Technique



Patients that have sustained an anterior cruciate ligament (ACL) tear, often a sports-related injury, may require surgery to reconstruct the ACL. In this procedure, a graft, either from the patient or from a donor, is used to replace the torn ligament. While there are many methods for fixation of the graft, fixating the graft at the aperture may offer a stiffer construct to prevent graft laxity and tunnel widening post-operatively1,2.

1Porter, MD. Femoral Aperture Fixation Versus Cortical Fixation for ACL Reconstruction Using Autologous Hamstring Graft: A Computer Navigation Study. Arthroscopy, Volume 33, Issue 10 , e141 - e142.


2L’Insalata JC, Klatt B, Fu FH, Harner CD. Tunnel expansion following anterior cruciate ligament reconstruction: A comparison of hamstring and patellar tendon autografts. Knee Surg Sports Traumatol Arthrosc 1997;5:234-238.

What our customers have to say."I have used ExoShape® as my primary method for ACL reconstruction for several years.  The ExoShape® solution allows outstanding fixation strength and aperture fixation creating a construct that is both strong and stiff."

- Geoffrey B. Higgs, MD
Paid CONMED consultant