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hi im james gladstone chief of sports medicine at mount sinai health system in new york city im going to be demonstrating to you an all inside acl reconstruction using the rigid loop adjustable button on the femur and the rigid loop suture loop and rigid loop clip on the tibia for this procedure well be demonstrating an all inside acl reconstruction using for femoral fixation the rigid loop adjustable button and on the tibial fixation the rigid loop suture loop along with the rigid loop clip and these come in two sizes one is 12 millimeters ones 20 20 millimeters and you can decide on the size you want to use at the time of uh of the fixation of the tibial side and place the suture loop around the post were going to want about the 65 millimeter graft well do the same thing with the rla so here were pulling with the striped green and following with the white and green and youll see the button coming to view here it is now lets see so here weve got the purple mark at the entra