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anterior cruciate ligament surgery with hamstring autograft traditional interference screw and all inside with graft link anterior cruciate ligament acl reconstruction with hamstring autografts has been consistently successful with a long track record techniques are continuing to evolve to make the surgery even better newer techniques involve a drilling femoral tunnels independently from the tibial tunnel this can be done by drilling through the medial portal medial accessory portal or reverse drilling with a retrograde technique our preferred technique has evolved to using a retrograde socket and suspension fixation with a quadruple semitendinosus tendon graft this allows circumferential graft healing using a quadrupled semitendinosus graft has provided a consistently larger graft than the traditional semitendinosus and priscillus graft an alternative technique is to use absorbable screws for fixation if that particular technique is desired then the hamstring graft harvest steps are t
