The result is a simple, reproducible technique that changes very little in the habits of surgeons who use the In Out technique, but RESPECTS the PRINCIPLE of DOUBLE TIBIAL FIXATION and the PRESERVATION OF THE VASCULARISATION of the graft.
From: Lang E, Hardy A, Tufis O, Grimaud O, Gerometta A, Bohu Y, Lefevre N, Meyer A. Surgical technique of anterior cruciate ligament ligamentoplasty with pedicular hamstrings via an inside-out approach: BIOFAST hamstring tendons graft. Orthop Traumatol Surg Res 2022;108:103192. https://doi.org/10.1016/j.otsr.2021.103192