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

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.