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my name is Justin earn it Im an orthopedic Sports Medicine surgeon at the University of Utah health in Salt Lake City Utah today were going to be discussing quadriceps tenant autographed ACL reconstruction using suspensory fixation from the rigid Loop family of my tech Sports Medicine so we have a left knee here and weve already marked out our incisions I like to position the patient supine on the table I have their knee flexed to 90 degrees with a footholder on the table that way I can look down the axis of the thigh while harvesting my tendon I Mark out all the poles of the patella my tibial tubercle as well as the lateral border of the vastus medialis so I can have an idea of the trajectory of my quadriceps tendon I typically make a vertical incision although transverse incisions are also applicable I make a two to three centimeter incision directly lateral to that vastus medialis in line with where my Harvest is going to be were going to elevate some medial and lateral skin fl
