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my name is Justin earn it Iamp;#39;m an orthopedic Sports Medicine surgeon at the University of Utah health in Salt Lake City Utah today weamp;#39;re 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 weamp;#39;ve 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 weamp;#39;re going to elevate