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this video demonstrates an acl reconstruction with hamstring tendon graft using the ultra button suspensory device and the regenezorb interference screw fixation the femoral sided suspensory fixation is the preferred soft tissue technique as it allows the graft to have the appropriate aperture graft fit in the tunnel with suspension on the lateral femoral cortex plus this femoral sided fixation has also been tried and proven well for years the ultra button makes it far easier for the surgeon as it eliminates any pre-operative and intraoperative calculations that were previously involved using the endo button the adjustable loop seats the graft with no thinking involved on the tibial side my preference is to use the biosure regenezorb interference screw sized line to line with the tibial tunnel diameter this screw has an open architecture to allow for more bony in growth as the graft incorporates and the screwdriver itself seats nearly the entire length of the screw which decreases the
