Anterior Cruciate Ligament Reconstruction Using the Tape-Active Reconstruction System With Semitendinosus Graft: A Primary Load-Bearing Construct
Arthroscopy Techniques, vol.15, no.4, 2026 (ESCI, Scopus)
- Publication Type: Article / Article
- Volume: 15 Issue: 4
- Publication Date: 2026
- Doi Number: 10.1002/atn2.70028
- Journal Name: Arthroscopy Techniques
- Journal Indexes: Emerging Sources Citation Index (ESCI), Scopus, EMBASE, Directory of Open Access Journals
- Dokuz Eylül University Affiliated: Yes
Abstract
Anterior cruciate ligament reconstruction is a widely performed orthopaedic procedure; however, early graft elongation and loss of tension remain significant biomechanical challenges, particularly with the use of soft tissue autografts. In this technical note, the tape-active reconstruction system is described as an augmentation technique in which a high-strength suture tape functions as the primary load-bearing element, while the semitendinosus tendon graft provides a biologic scaffold to facilitate osteointegration. This construct is designed to resist early elongation, preserve graft positioning, and enhance joint stability during the critical early phase of healing. The tape-active reconstruction system represents a promising strategy for improving initial graft protection and optimizing long-term outcomes in anterior cruciate ligament reconstruction.