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you begin the ACL reconstruction load the graft on to the tendon loop by pulling the suture limbs through until the graft ends are evenly distributed on either side then cleat the suture tails mark a line around the circumference of the graft the recommended depth is 25 to 30 millimeters from the top of the tendon loop a trans tibial or AM portal approach can be used for a trans tibial approach drilled the tibial and femoral tunnels to be one to two millimeters larger than the graft and femoral fastener diameter position the tendon loop at a 2 or 10 oamp;#39;clock position in the bone tunnel so that the deployment Wings are oriented to expand in the anterior posterior direction and the block lock expands in the medial and lateral directions carefully insert until the mark line is flush with the femoral aperture release the trigger from the safety and squeeze the trigger 2 to 3 times to deploy the femoral fastener uncleamp;#39;d the sutures push the Knobloch forward and turn t
