Anterior Cruciate Ligament (ACL) injuries are one of the most common knee problems among athletes, fitness enthusiasts, and even non-athletes. As surgical techniques evolve, orthopaedic surgeons now have access to stronger, more reliable methods of ACL repair and reconstruction. One such advancement gaining global attention is the FiberTape Internal Brace technique. As the surgical methods and procedures evolve, orthopaedic surgeons now have access to stronger and more reliable methods of ACL repair and reconstruction. One such advanced technique is the fibre tape internal brac etechnique.

Unlike traditional ACL reconstruction alone, which replaces the torn ligament with a graft, the FiberTape Internal Brace augments ligament reconstruction, supporting the graft during early healing and allowing patients to rehabilitate faster and more confidently.

In this comprehensive article, we explore, what FiberTape Internal Brace actually is, how the technique works inside the knee, differences from conventional ACL reconstruction, who is an ideal candidate, recovery expectations, and common myths and misconceptions associated with the FibreTape Internal Brace.

Let’s dive deep into this breakthrough advancement in knee ligament surgery.

Understanding ACL Injuries. Why Do We Need Better Solutions?

The ACL is one of the primary stabilizers of the knee joint. It prevents the tibia (shin bone) from sliding forward and controls rotational movements during running, jumping, and turning. A tear typically occurs during: Sudden pivoting Abrupt deceleration Landing awkwardly after a jump Direct impact to the knee

Once torn, the ligament cannot heal on its own, and most active individuals require surgical reconstruction.

The Challenge With Traditional ACL Repair

Conventional ACL reconstruction involves replacing the torn ligament with a tendon graft. While this method is highly successful, there are limitations: The graft is weak during the first few months Patients may fear early movement Re-tear risk remains, especially in young athletes Rehab duration often extends 9–12 months Overstretching of the graft may lead to persistent laxity

This led to the development of supplemental technologies that can protect and reinforce the graft, leading us to FiberTape Internal Brace.

What Exactly Is a FiberTape Internal Brace?

The FiberTape Internal Brace is a high-strength, ultra-thin, braided tape made from a material called ultra-high-molecular-weight polyethylene (UHMWPE). It is designed specifically for ligament reinforcement.

Think of it as a seatbelt for the ACL graft, not replacing the ligament, but providing additional support while the new graft matures.

Key Features of FiberTape

Broad, flat design distributes load evenly Extremely strong yet flexible Does not replace the ACL graft, rather supplements it Allows natural knee movement Biocompatible material designed to integrate safely

It is anchored inside the knee using specialized low-profile screws or buttons, forming a supportive “internal brace” that protects the ligament reconstruction.

How Does FiberTape Internal Bracing Work?

During ACL reconstruction, the surgeon places a tendon graft inside the knee. The FiberTape is then positioned along with the graft and fixed at two ends, typically at the femur and tibia.

How It Helps Inside the Knee

It acts as a secondary stabilizer It reduces excessive strain on the healing graft It protects the graft during early rehabilitation It absorbs high loads during sudden movements It minimizes micro-tearing or stretching of the graft

In simpler terms, while the ACL graft slowly regains strength over months, the FiberTape ensures it does not get overloaded, reducing the risk of re-injury.

FiberTape Internal Brace vs Traditional ACL Reconstruction

Criteria
Traditional ACL Reconstruction
Graft alone
With FiberTape Internal Brace
Graft + reinforcement
Primary support
Graft alone
Graft + reinforcement
Early strength
Moderate
High due to internal bracing
Re-tear protection
Standard
Significatly improved
Rehab freedom
Conservative
Earlier and safer motion
Confidence during movement
Gradual
Faster due to stability
Return to sports
9-12 months
Potentially earlier depending on individual case
Suitable for
Most ACL injuries
High-demand athletes, young patients, re-tear risks

The FiberTape does not replace existing surgical methods, rather enhances them.

Major Benefits of FiberTape Internal Brace for ACL Tears

1. Stronger Ligament Support During Healing The early post-surgery period is when the graft is most vulnerable. The FiberTape acts like a protective shield, reducing chances of stretching or early failure.

2. Lower Re-Injury Rates Athletes aged 15–25 have the highest re-tear risk. Research shows internal bracing reduces graft overload, leading to fewer failures.

3. Faster and Safer Rehabilitation With additional stability, patients can start early range-of-motion exercises and guided physiotherapy more confidently.

4. Earlier Return to Sports Because the graft is protected, many surgeons allow athletes to progress faster, cutting down the return-to-play timeline (case-dependent).

5. Preserves Natural Knee Biomechanics Unlike rigid materials, FiberTape flexes along with the graft, maintaining the natural kinematic movement of the knee joint.

6. Beneficial in High-Risk Groups Internal bracing is especially valuable for: Teen and young adult athletes People with generalized ligament laxity Patients undergoing revision ACL surgery Individuals with early return-to-sport goals

7. Minimally Invasive Addition The procedure uses arthroscopic techniques and does not require extra incisions or extensive surgical modifications.

8. Enhances Graft Longevity By offloading excessive mechanical stress, the graft is allowed to mature stronger and more structurally sound.

Who Is the Ideal Candidate for FiberTape Internal Brace?

While the technology is highly beneficial, it is not mandatory for every ACL reconstruction case. Surgeons typically recommend it for: Young, active individuals Athletes in pivoting sports such as football, basketball, tennis, kabaddi Patients undergoing revision or secondary ACL surgery Individuals with hypermobility Those with a high demand for knee stability Patients seeking faster functional recovery

A clinical evaluation, MRI, and activity-level assessment help determine candidacy.

What Happens During the Procedure? (Step-by-Step Overview)

Arthroscopy is performed to visualize the knee. Damaged ACL remnants are prepared and removed if needed. Tunnels are created in the femur and tibia for the graft. Tendon graft is placed and secured. FiberTape is positioned alongside the graft, forming a supportive brace. Anchors or screws secure the tape at both ends. Stability is checked, ensuring natural knee movement. Incisions are closed, and the patient moves to recovery.

The technique adds only a few minutes to the surgery but offers long-term value.

Recovery After ACL Reconstruction With FiberTape

Early Phase (0–4 weeks)

Reduced swelling and inflammation Early knee bending and straightening allowed (as guided by the doctor) Better confidence during weight-bearing Less fear of graft damage due to added reinforcement

Intermediate Phase (1–3 months)

Normal gait training Gradual strengthening of quadriceps and hamstrings Early balance and proprioception exercises Reduced instability compared to graft-only reconstruction

Advanced Phase (3–6 months)

Running progression Agility, jumping, landing drills Controlled sport-specific movements

Return to Sports (6–9 months) Some individuals may progress earlier depending on: Muscle strength Neuromuscular control Mental readiness Surgeon and physiotherapist clearance

Internal bracing provides psychological confidence—an often overlooked but critical factor.

Common concerns associated with fibre tape

Is the tape too rigid? No. FiberTape is designed to mimic natural ligament flexibility.

Can I feel it inside the knee? Patients typically do not feel any foreign material.

Does it limit knee movement? The tape allows full physiological motion and is not a mechanical restraint.

Does it replace the need for a graft? Absolutely not. FiberTape supplements the graft, it does not substitute it.

Advantages for Surgeons and Patients

For Surgeons Improves surgical reliability Minimizes risk of graft elongation Ideal for complex or revision cases

For Patients Higher stability Reduced fear during rehab Better protection during early healing Confidence to return to sports

Long-Term Outlook After FiberTape Internal Brace ACL Surgery

Most patients experience: Stronger knee stability Lower failure rates Better performance in pivot-heavy sports More secure ligament healing

According to several studies, internal bracing enhances both short-term outcomes and long-term joint health, making it a preferred technique for modern ACL reconstruction.

Conclusion

The FiberTape Internal Brace represents a significant step forward in ACL injury management. By reinforcing the graft during its vulnerable healing phase, it offers athletes and active individuals a safer pathway toward full recovery and return to sport. While not necessary for every case, it is particularly valuable for high-risk or high-performance individuals who cannot afford a second injury.

If you are evaluating treatment options for an ACL tear, discuss the possibility of internal bracing with your orthopaedic surgeon. The right surgical plan, combined with disciplined rehabilitation, can restore knee stability, confidence, and long-term performance.