Review ArticlesACL Fixation DevicesHapa, Onur MD; Barber, F. Alan MD, FACSAuthor Information Plano Orthopedic Sports Medicine and Spine Center, Plano, TX Reprints: F. Alan Barber, MD, FACS, Plano Orthopedic Sports Medicine and Spine Center, 5228 West Plano Parkway, Plano, TX. Sports Medicine and Arthroscopy Review: December 2009 - Volume 17 - Issue 4 - p 217-223 doi: 10.1097/JSA.0b013e3181bf668c Buy Metrics Abstract Secure graft fixation for anterior cruciate ligament reconstruction is an important goal. Optimally, graft fixation allows for an aggressive postoperative rehabilitation program with the goals of immediate full range of motion, full weight bearing, and an early return to athletic activity. Current anterior cruciate ligament reconstruction techniques advance soft tissue grafts with or without bone plugs into the joint to replace the damaged ligament. Segments of these grafts are fixed within a bone tunnel or on the periosteum at a distance from the normal ligament attachment site. The graft fixation should be secure, allow normal tendon healing, and provide the graft construct with biomechanical properties, which approach that of the native ligament. Several different fixation devices are available for anterior cruciate ligament construction. © 2009 Lippincott Williams & Wilkins, Inc.