The TLS ACL Reconstruction Procedure utilises the innovative Tape Locking Screw (TLS®) system for anterior cruciate ligament reconstruction, offering surgeons a reliable, reproducible, and minimally invasive solution for ACL injuries.

This all-inside reconstruction technique of the cruciate ligament uses a short (DT4) graft, with more than 10 years of hindsight. Over 48,000 patients around the world have been treated with this technique.

The full range of TLS surgical options has been supplemented this year by a simple extra-articular pivot-shift reducing reconstruction technique at DI2, after single-bundle reconstruction of the ACL.

Key Features of the TLS Technique:

• Short, Quadrupled Hamstring Graft: Only the semitendinosus tendon is harvested, sparing the gracilis and minimising donor-site morbidity. The graft is quadrupled to provide superior tensile strength and ideal graft diameter. View our range of tendon grafts here.

• Anatomic Tunnel Placement: The TLS method allows for precise, anatomic tunnel creation, supporting both retrograde and antegrade drilling techniques. This ensures optimal graft positioning and reduces the risk of tunnel convergence or subchondral bone injury.

• Secure Fixation: TLS screws and tape loops offer immediate, robust fixation on both the femoral and tibial sides, facilitating early weight-bearing and accelerated rehabilitation protocols.

• Minimally Invasive, Outpatient Friendly: The procedure’s minimal invasiveness makes it suitable for day-case surgery and is supported by studies demonstrating low postoperative pain, low complication rates, and rapid return to activity—even in pediatric and athletic populations.

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