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The use of interference screws for graft fixation in anterior cruciate ligament reconstruction promotes the bone tunnels widening due to crushing of the cancellous bone and limits the contact area between the graft and the wall of bone tunnel. Cortical fixation is devoid of these drawbacks, but its use leads to the bone tunnels widening due to the movements of the graft in tunnels. To solve these problems we have developed a simple and reliable method of cortical fixation of the graft for anterior cruciate ligament reconstruction. • EndoCap unlike traditional tibial cortical buttons provides the most stable fixation due to design features that take into account the oblique course of the tibial tunnel during anterior cruciate ligament reconstruction. • EndoCap is universal fixation device - it allows cortical fixation of soft tissue grafts in tibial tunnels with a diameter of 8 to 12 mm, which allows it to be used in primary anterior cruciate ligament reconstruction and in revision cases. • A special “visor” on the fixation device effectively prevents its displacement in the proximal direction when tensioning the graft fixing threads. • Special “spikes” on the lower surface of the fixation device prevent the button from rotating after tightening the threads and significantly reduce the pressure on the periosteum around the entrance to the tibial tunnel. • A mark on the upper side of the button indicates the location of the "visor" on its lower surface for precise positioning. • Flat edges on the sides of the "visor" allow you to conveniently grip the locking device with clamps, greatly facilitating its installation. The EndoCap system was invented by Vladimir Slastinin👨⚕️ ......................... Doctive LAB Exclusive distributor of the EndoCap tibial button. [email protected] https://doctive.me / doctive / doctive / doctive.me #arthroscopy #aclreconstruction #acl