The anterior cruciate ligament (ACL) is reconstructed by passing a graft through tunnels in the femur and tibia and fixing it at each end. The posterior cruciate ligament (PCL) is reconstructed on the same principles.
We supply fixation for both ends of the graft:
- Femoral cortical buttons: ONBUTTON, ONBUTTON CL (continuous loop), ONBUTTON EX (extended surface for cortical blowouts and revisions) and BUTTONFIX.
- Tibial and all-inside fixation: MR-FIX, SMART-FIX and the BT-FIX adjustable loop.
- Interference screws: SOFTFIX, SOFTFIX-PK (PEEK) and BIOTWIN (resorbable), for soft-tissue and bone–patellar tendon–bone grafts.
- Graft-sparing implant: Xiros JewelACL, a permanent polyester implant for partial or total graft-sparing reconstruction.
Also known as: Anterior cruciate ligament reconstruction, Cruciate ligament reconstruction, All-inside ACL reconstruction
Products for ACL reconstruction

BIOTWIN
Cannulated resorbable interference screw of 75% PLDLLA and 25% BCP for graft fixation in knee ligament reconstruction.
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BT-FIX
Buttonless adjustable fibre loop loaded onto a SMART-FIX tibial base plate for knotless tibial fixation in all-inside ACL and PCL reconstruction.
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BUTTONFIX
Fixation button with an adjustable loop and graft support frame for cortical suspensory graft fixation in ACL and PCL reconstruction.
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JewelACL™
Permanent polyester ligament implant for ACL reconstruction, used alone or with a harvested tendon graft in graft-sparing techniques.
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MR-FIX
Low-profile tapered button for tibial-side fixation in all-inside ACL reconstruction, with cutting edges to ease suture passage.
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ONBUTTON
Titanium button for endoscopic femoral fixation of soft-tissue or bone-tendon-bone grafts in ACL and PCL reconstruction.
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Onbutton CL
Titanium cortical button with a continuous suture loop for femoral fixation of soft-tissue and BTB grafts in ACL and PCL reconstruction.
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Onbutton Ex
Extended-surface fixation device used with Onbutton CL in ACL and PCL reconstruction, for cortical blowout and revision cases.
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SMART-FIX
Tibial cortical button for graft fixation in all-inside ACL reconstruction, in medium and large sizes for 7–11 mm tunnels.
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SOFTFIX
Cannulated titanium alloy interference screw with rounded threads for femoral or tibial graft fixation in cruciate reconstruction.
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SOFTFIX-PK® PEEK Interference Screw
Non-absorbable PEEK interference screw for BTB and soft-tissue graft fixation in ACL and PCL reconstruction, and for distal biceps repair.
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Which products does Lavender Medical supply for ACL reconstruction?
BIOTWIN, BT-FIX, BUTTONFIX, JewelACL™, MR-FIX, ONBUTTON, Onbutton CL, Onbutton Ex, SMART-FIX, SOFTFIX and SOFTFIX-PK® PEEK Interference Screw. Each has its own page with the surgical technique and brochure where available. Call us or use the enquiry button for product information, a demonstration or a kit for a case.
Do you supply fixation for all-inside ACL reconstruction?
Yes. MR-FIX (a low-profile button) and SMART-FIX are tibial buttons for the all-inside technique, and the BT-FIX adjustable loop gives knotless tibial fixation with SMART-FIX in all-inside ACL and PCL reconstruction.
Can ACL reconstruction be done without harvesting a full graft?
Xiros JewelACL is a permanent polyester implant that can be used with or without additional tissue graft, for partial or total graft-sparing ACL reconstruction techniques.
