Short Femoral In-Tunnel Graft Length Does Not Compromise Graft Healing and Clinical Outcomes After Combined Anterior Cruciate Ligament and Anterolateral Ligament Reconstruction Using Hamstring Autograft

Key Points

• Short femoral tunnel graft lengths (10-15 mm) do not hinder graft healing after ACL and ALL reconstruction, ensuring positive clinical outcomes.
• The subgroup utilizing shorter graft lengths demonstrated reduced femoral tunnel widening compared to longer grafts in this analysis.
• Assessment using intraoperative target measurements indicates that graft failure rates are clinically acceptable, supporting shorter graft options.
• The findings suggest the possibility to adapt surgical techniques without compromising patient recovery and graft stability.