Uploaded March 2026 | Updated September 2026, 2 weeks ago
In this video, we demonstrate all‑inside ACL reconstruction using a quadriceps tendon autograft, combined with FiberTag® TightRope® soft-button fixation and InternalBrace™ augmentation.
The anterior cruciate ligament (ACL) is a key stabilizer of the knee, commonly injured in sports. Advanced surgical techniques aim to restore stability while minimizing invasiveness and improving recovery.
🔧 Procedure Overview
The procedure begins with harvesting a full-thickness quadriceps tendon graft, typically around 65–70 mm in length, providing strong, reliable tissue for reconstruction.
The graft is prepared using FiberTag® sutures and TightRope® soft-button fixation, creating a metal-free construct that avoids traditional hardware.
Using an all-inside technique, sockets are created in both the femur and tibia with specialized reamers, allowing for precise graft placement while preserving bone.
The graft is passed into the joint and secured using adjustable loop TightRope® fixation, ensuring strong cortical fixation on both sides.
An InternalBrace™ FiberTape is then added and fixed with a suture anchor to reinforce the reconstruction and provide additional stability during healing.
✅ Key Benefits of All-Inside Quad ACL Reconstruction
Minimally invasive all-inside approach
Strong quadriceps tendon autograft
Metal-free fixation with soft buttons
Reinforced stability with InternalBrace™ augmentation
Preserves bone and reduces surgical trauma
🦵 Clinical Applications
This technique is commonly used for:
ACL tears in athletes and active individuals
Primary ACL reconstruction
Patients seeking minimally invasive options
Cases where bone preservation is important
🏃 Recovery & Outcomes
Postoperative rehabilitation typically includes:
Early controlled motion
Progressive strengthening
Gradual return to sports
The addition of InternalBrace™ support may help enable earlier functional rehabilitation while protecting the graft.
🎯 Who This Video Is For
Orthopedic surgeons & residents
Sports medicine specialists
Knee ligament reconstruction learners
Athletes researching ACL surgery options
👇 Helpful Arthrex Reference Links:
arthrex.com/foot-ankle/jones-fracture-repair?utm_source=youtube&utm_medium=video_description&utm_campaign=corp_foot_ankle&utm_content=FxcpUJ-UQNM_surgical_technique
https://www.arthrex.com?utm_source=youtube&utm_medium=video_description&utm_campaign=corp_trauma&utm_content=FxcpUJ-UQNM_surgical_technique
👍 Like, comment, and subscribe to see more patient success stories and innovations in minimally invasive orthopedic procedures.
Arthrex is a global leader in orthopedic surgical innovation, dedicated to advancing minimally invasive techniques and medical education. Our mission is to help surgeons treat their patients better by providing cutting-edge products, expert training, and comprehensive resources for orthopedic procedures, including sports medicine, joint preservation, and trauma care.
Stay Connected: 👍 Subscribe to our channel for the latest in orthopedic surgical techniques and product updates.
📱 Follow Arthrex on:
LinkedIn: / linkedin.com/company/arthrex
Facebook: / facebook.com/Arthrex
Instagram: / instagram.com/arthrexmeded
X: https://x.com/arthrex
In this video, we demonstrate all‑inside ACL reconstruction using a quadriceps tendon autograft, combined with FiberTag® TightRope® soft-button fixation and InternalBrace™ augmentation.
The anterior cruciate ligament (ACL) is a key stabilizer of the knee, commonly injured in sports. Advanced surgical techniques aim to restore stability while minimizing invasiveness and improving recovery.
🔧 Procedure Overview
The procedure begins with harvesting a full-thickness quadriceps tendon graft, typically around 65–70 mm in length, providing strong, reliable tissue for reconstruction.
The graft is prepared using FiberTag® sutures and TightRope® soft-button fixation, creating a metal-free construct that avoids traditional hardware.
Using an all-inside technique, sockets are created in both the femur and tibia with specialized reamers, allowing for precise graft placement while preserving bone.
The graft is passed into the joint and secured using adjustable loop TightRope® fixation, ensuring strong cortical fixation on both sides.
An InternalBrace™ FiberTape is then added and fixed with a suture anchor to reinforce the reconstruction and provide additional stability during healing.
✅ Key Benefits of All-Inside Quad ACL Reconstruction
Minimally invasive all-inside approach
Strong quadriceps tendon autograft
Metal-free fixation with soft buttons
Reinforced stability with InternalBrace™ augmentation
Preserves bone and reduces surgical trauma
🦵 Clinical Applications
This technique is commonly used for:
ACL tears in athletes and active individuals
Primary ACL reconstruction
Patients seeking minimally invasive options
Cases where bone preservation is important
🏃 Recovery & Outcomes
Postoperative rehabilitation typically includes:
Early controlled motion
Progressive strengthening
Gradual return to sports
The addition of InternalBrace™ support may help enable earlier functional rehabilitation while protecting the graft.
🎯 Who This Video Is For
Orthopedic surgeons & residents
Sports medicine specialists
Knee ligament reconstruction learners
Athletes researching ACL surgery options
👇 Helpful Arthrex Reference Links:
arthrex.com/foot-ankle/jones-fracture-repair?utm_source=youtube&utm_medium=video_description&utm_campaign=corp_foot_ankle&utm_content=FxcpUJ-UQNM_surgical_technique
https://www.arthrex.com?utm_source=youtube&utm_medium=video_description&utm_campaign=corp_trauma&utm_content=FxcpUJ-UQNM_surgical_technique
👍 Like, comment, and subscribe to see more patient success stories and innovations in minimally invasive orthopedic procedures.
Arthrex is a global leader in orthopedic surgical innovation, dedicated to advancing minimally invasive techniques and medical education. Our mission is to help surgeons treat their patients better by providing cutting-edge products, expert training, and comprehensive resources for orthopedic procedures, including sports medicine, joint preservation, and trauma care.
Stay Connected: 👍 Subscribe to our channel for the latest in orthopedic surgical techniques and product updates.
📱 Follow Arthrex on:
LinkedIn: / linkedin.com/company/arthrex
Facebook: / facebook.com/Arthrex
Instagram: / instagram.com/arthrexmeded
X: https://x.com/arthrex
