Figure 1

Presents the all-Inside graft link preparation with a semitendinosus graft (buried-knot technique) as shown by Lubowitz in 2012. (Logo used with permission of Arthrex) (1) The free ends of the graft are passed to the same side of the loop. (2) Both ends are than brought together (3) to get whipstiched together with No 2. FiberLoop. (4) Then the whipstiched part is passed through the other TightRope (5) and brought between the tendon. (6) The two ends of the FiberLoop were tensioned and fixed on the graft preparation station. (7), (8) Next, the graft is baseball stitched on both ends with a No. 2 FiberWire creating the final graft link. Each stitch is passed through each of the 4 strands of graft and the suture free limb is wrapped once around the collagen bundles, creating a self-reinforcing suture noose. (9) Represents the final graft link.