Successful anterior cruciate ligament (ACL) reconstruction with tendon graft requires extensive tendon-to-bone healing in the bone tunnels and progressive graft ligamentization for biological, structural, and functional recovery of the ACL. Improvement in graft-to-bone healing is crucial for facilitating early, aggressive rehabilitation after surgery to ensure an early return to pre-injury activity levels. The use of various biomaterials for enhancing the healing of tendon grafts in bone tunnels has been developed. With the biological enhancement of tendon-to-bone healing, biological fixation of the tendon graft in the tunnel can be achieved in ACL reconstruction.
Original languageEnglish
Pages (from-to)48-53
Number of pages6
JournalAsia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilitation and Technology
Issue number2
Publication statusPublished - Apr 2014


  • Anterior cruciate ligament
  • Biological fixation
  • Biomaterial
  • Graft healing
  • Tendon graft


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