QuadLink™ ACL Reconstruction With the FiberTag® TightRope® SB Implant and InternalBrace™ Technique @WhatsNewinOrthopedics
QuadLink™ ACL Reconstruction With the FiberTag® TightRope® SB Implant and InternalBrace™ Technique  @WhatsNewinOrthopedics
Uploaded March 2026 | Updated September 2026, 2 weeks ago
The ACL (anterior cruciate ligament) is a critical stabilizer of the knee, and reconstruction aims to restore function, stability, and return to athletic performance after injury.
In this video, we demonstrate QuadLink™ ACL reconstruction, an advanced all-inside technique using a quadriceps tendon autograft, combined with FiberTag® TightRope® soft-button fixation and InternalBrace™ augmentation.



🔧 Procedure Overview

The procedure begins with harvesting a full-thickness quadriceps tendon graft, typically measuring 65–70 mm in length, providing a strong and reliable autograft.

The graft is then prepared with FiberTag® sutures and TightRope® soft-button fixation, creating a low-profile, metal-free construct.

Using an all-inside approach, sockets are created in the femur and tibia with specialized reamers, preserving bone while allowing precise graft placement.

The graft is passed into the sockets and secured using adjustable loop TightRope® fixation, achieving strong cortical fixation on both sides.

An InternalBrace™ FiberTape® is incorporated and fixed with a suture anchor, providing additional reinforcement during healing and improving early stability.



✅ Key Benefits of QuadLink™ ACL Reconstruction

Strong quadriceps tendon autograft

Minimally invasive all-inside approach

Metal-free soft-button fixation

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 solutions

Cases requiring strong soft tissue graft options



🏃 Recovery & Outcomes

Postoperative rehabilitation typically includes:

Early controlled motion

Progressive strengthening

Gradual return to sport



The combination of soft-button fixation and InternalBrace™ support allows for enhanced initial stability and may facilitate a smoother recovery progression.



🎯 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/resources/VPT1-00821-EN/graftlink-technique-research-and-outcomes?objectID=human.resource.en.6afd2099-d8a0-5933-bacb-449c70d145db.3&queryID=5c31f2d89cedd7c57fe6387137d65147&utm_source=youtube&utm_medium=video_description&utm_campaign=corp_knee&utm_content=iDK9YpQcv-c_surgical_technique
https://www.arthrex.com?utm_source=youtube&utm_medium=video_description&utm_campaign=corp_knee&utm_content=iDK9YpQcv-c_surgical_technique

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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.

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QuadLink™ ACL Reconstruction With the FiberTag® TightRope® SB Implant and InternalBrace™ Technique

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