ACLR using BPTB autograft with interference screws fixation has been found to have the least amount of measurable laxity, the fastest graft incorporation time, and low failure rates among the various graft and fixation techniques.
Biodegradable interference screws have been shown to provide at least as strong graft fixation as metal screws. Biodegradable screws do not interfere with imaging techniques and do not need to be removed in revision cases, because the implants have either degraded or can simply be drilled through.