Semitendinosis and Gracilis Anterior Cruciate Ligament Reconstruction Using the TransFix Technique

The use of doubled semitendinosis and gracilis (DSTG) tendons is increasing in anterior cruciate ligament reconstruction. The DSTG is the strongest and stiffest of available autografts, has the least associated morbidity, and its multistranded construct more closely mimics the normal anterior cruciate ligament. The TransFix technique uses a femoral cross pin to provide the strongest possible fixation in the femur. Its unique and accurate femoral cross pin and guide system assures tight tunnel wall and tendon fit by inserting the grafts with a flexible nitenol wire. The tibial fixation is provided by a 9 mm wide and 28 mm long headless interference screw that is inserted into the tibial tunnel adjacent to the distal part of the graft that is reinforced with nonabsorbable suture. The results of this technique are comparable to those of bone-patella tendon-bone reconstructions without the morbidity and complications.