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my name is mark bowen iamp;#39;m an orthopedic surgeon specializing in orthopedic sports medicine today weamp;#39;re going to be demonstrating the preparation of a single quadrupled semitendinosus tendon using two ultra buttons the indications for our quadrupled single tendon technique include any acute or chronic acl tear is preferred for patients with patellofemoral degeneration or a history of patellofemoral tracking issues or pain when a patient prefers to minimize anterior knee pain or difficulty kneeling and in revision of bone tendon bone reconstructive techniques once harvested the semitendinosus tendon graft is prepared using the smith and nephew x-wing graft preparation station two altar buttons are utilized and loaded onto the station to load the clamps are opened and then closed around each button the posts are normally set between 240 and 260 millimeters depending on graft length most of the time the entire tendon is utilized and is typically proportional to height our g
