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Traditional remnant\u2010preserving anatomical reconstruction is the first\u2010line treatment for midsubstance tears, but optimal management of femoral\u2010side avulsion injuries remains challenging. The vascular femoral attachment site offers unique healing potential. However, conventional reconstruction requires extensive native tissue resection, sacrificing the remnant's proprioceptive function and biological healing capacity, making it suboptimal. The presented modified \u201csuspender\u2010style\u201d technique addresses this by combining native ligament repair via traction\u2010reduction with graft\u2010based reconstruction for mechanical support. This dual approach optimizes the healing microenvironment while maximizing proprioceptive preservation. Therefore, the surgical technique described in this article presents a viable surgical approach for anterior cruciate ligament reconstruction, applicable to Sherman type I injuries.<\/jats:p>","DOI":"10.1002\/atn2.70234","type":"journal-article","created":{"date-parts":[[2026,8,22]],"date-time":"2026-08-22T10:45:33Z","timestamp":1787395533000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A Modified \u201cSuspender\u2010Type\u201d Traction\u2010Preservation and Native Ligament Reconstruction Using Hamstring Autograft for Anterior Cruciate Ligament Femoral\u2010Side Avulsion"],"prefix":"10.1002","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-9204-5136","authenticated-orcid":false,"given":"Haiwei","family":"Yan","sequence":"first","affiliation":[{"name":"Department of Sports Medicine Liuzhou Worker's Hospital\/The Fourth Affiliated Hospital of Guangxi Medical University  Liuzhou 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