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When using bioabsorbable interference fixation with a soft-tissue ACL graft, increase the graft stiffness by reaming the tunnels smaller than the graft, dilating the tunnel to no more than 0.5 mm greater than the graft, and choosing a screw length and diameter that is maximal for the tunnel created. Interference fixation of a soft-tissue graft also depends upon the quality of the patient’s tibial and femoral bone.

Biomechanics of Soft-Tissue Interference Screw Fixation for Anterior Cruciate Ligament Reconstruction