Figure 2 | Scientific Reports

Figure 2

From: The buried knot technique for all inside graft link preparation leads to superior biomechanical graft link stability

Figure 2

Showing the continuous loop technique using a quadrupled semitendinosus tendon Graft for ACL graft link preparation. (Logo used with permission of Arthrex). (1) First the ACL TigthRopes are loaded onto the graft preparation station. The end of the semitendinosus graft is passed through the first ACL ThightRope and than through the second, creating a short length and a long length. (2) The longer end is than brought back through both ACL TightRopes to create a quadrupled graft. (3) The two free ends are sutured together using a FiberWire with one to two running baseball stiches. (4) Then the graft is slightly tensioned and the knot is put to the inner loop. (5), (6), (7), (8) Than the graft is sutured, in a standard way, with a number 2 FiberWire. Starting on the inside passing through two limbs then the suture is passed three to four times around the graft. The needle is pooled back in the middle of the graft through the other two limbs and than tight in a standard way. (9) This procedure is repeated four times to get the final graft link.

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