The article is approaching an interesting topic regarding ACL reconstruction using the hamstring tendons (semitendinosus and gracilis) as the graft. The initial graft fixation after ACL reconstruction is mechanical and it must assure the stability of the system until the biologic integration takes place. No fixation system is as strong as the native ACL insertion. Therefore, hibrid fixation like an improvement of simple fixation is a field worth studying. The fixation shown in this article is the Hybrid fixation consisting of direct fixation with interference screw and an extra cortical fixation over a cortical screw.
