Anatomical anterior cruciate ligament reconstruction with a flat graft using a new tunnel creation technique

Anterior cruciate ligament (ACL) reconstruction is well established in a single bundle or double bundle technique using hamstrings, quadriceps tendon or patellar tendon. Based on new anatomical findings from the authors about flat ACL and c-shaped tibial insertion, a novel concept was developed to reconstruct the ACL in a more anatomical way. This article describes the new technique of flat ACL reconstruction with graft preparation and creation of flat femoral and tibial bone slits.