Tibial-graft fixation methods on anterior cruciate ligament reconstructions: a literature review.

Introduction: Anterior cruciate ligament (ACL) reconstruction is the most performed orthopedic surgical procedure. The result of ACL reconstructions depends on multiple technical variables, including tension to be applied to the graft for fixation, knee-flexion angle during fixation and the type of fixation to the bone.

Objective: To carry out a survey of the literature with the best evidence on these themes.