Anterior Cruciate Ligament Reconstruction Using the Tape‐Active Reconstruction System With Semitendinosus Graft: A Primary Load‐Bearing Construct

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.