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Abstract The interference screw method considered as the gold stander methods of fixation that also used to compare it and the newly invented methods, but this interference screw had its own problems like, screw breakdown, it is a foreign body, bone tunnel dilatation, also the revision ACL surgery became difficult with screws in addition to the financial side.(30) a biological method of fixation were invented and developed to fix the ACL graft using a bone plug that fix the graft by press fit technique, it has many advantages like it is a biological method no foreign body, decrease bone tunnel dilatation, it didn{u2019}t interfere with MRI or CT postoperatively, easy revision surgery, in addition to low coast. In this study we compare between the press fit technique and interference screw technique from clinical point of view to determine whether this method is effective and valuable or not |