The tibia head is big enough to harvest another one. Especially in thecase of very osteoporotic bone quality it may be necessary to take a secondtibial cylinder for press fit fixation in femur.Press-fit ACL reconstruction avoids the disadvantages associated withhardware fixation, such as graft damage during screw driving divergencebetween the bone plug and the screw, bio-incompatibility, biodegradabilityor allergic reactions, and technical problems.